Active NPI
Andrew Powelson, MD
- Anesthesiology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- LL34909
- Practice address
- 167 Ashley Ave
Suite 301
Charleston, SC 29425-9120 - Phone
- (843) 792-2437
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | LL34909 | SC | Primary |
Addresses
Primary practice location
167 Ashley Ave
Suite 301
Charleston, SC 29425-9120
Mailing address
167 Ashley Ave
Suite 301
Charleston, SC 29425-9120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Northeastern Ohio University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 460-5220
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925
Hospital & facility affiliations
- Mobile Infirmary Medical Center
- Springhill Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL34909 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Lake Health Springhill, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists Associated PC | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists Associated PC | Current | Accepting new patients | |
| Medical University of South Carolina | Past | Accepting new patients |
Locations
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000
4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851371850
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1194496216
-
- Critical Care Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1396353280
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1407053853
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1477816130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 ASHLEY AVE",
"address_2": "SUITE 301",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294259120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 ASHLEY AVE",
"address_2": "SUITE 301",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294259120",
"telephone_number": "843-792-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELSON",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "LL34909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.