Active NPI
Andrew H Herrin, M.D.
- Specialist
- Athens, GA
National Provider Identifier
1407912413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 045239
- Practice address
- 740 Prince Ave
BLDG 3
Athens, GA 30606-5908 - Phone
- (706) 548-4272
- Fax
- (706) 548-9181
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 045239 | GA | Primary |
Addresses
Primary practice location
740 Prince Ave
BLDG 3
Athens, GA 30606-5908
Mailing address
5780 Peachtree Dunwoody Road
Suite 300
Atlanta, GA 30342-1513
Phone (404) 303-1224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 598226 | Other | GA | BCBS NUMBER |
| 000787025C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2013 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens OBGYN II LLC | Specialist | Past | Accepting new patients |
| Athens Obstetrics and Gynecology, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Athens, GA
- NPI 1730495680
-
- Obstetrics & Gynecology Physician
- Athens, GA
- NPI 1215436043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1407912413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5780 PEACHTREE DUNWOODY ROAD",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421513",
"telephone_number": "404-303-1224",
"fax_number": "404-303-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 PRINCE AVE",
"address_2": "BLDG 3",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065908",
"telephone_number": "706-548-4272",
"fax_number": "706-548-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIN",
"first_name": "ANDREW",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "045239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "598226",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000787025C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.