Andrea A Womble, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.331 Issued in AL

Practice address

1105 Eagletree LN SW
Huntsville, AL 35801

Phone

(256) 261-2826

Fax

(256) 429-9246

NPI assigned

Jun 5, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alabama Colon & Gastro, PC

  • Gastroenterology Physician
  • Huntsville, AL
  • NPI 1437514684
  Medicare reassignment
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment
• University of South Alabama Health Services Foundation

  dba USA Clinical Genetics Lab

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1548357916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487693503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016447",
            "telephone_number": "256-261-2826",
            "fax_number": "256-429-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-261-2826",
            "fax_number": "256-429-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "ANDREA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Wolfe, RN, BSN.
• Nancy Renee Wolfe
• Samuel Lavone Wolfe Jr.
• Stephanie Lynn Wolfe, CRNA
• Womb Space Healing Center, LLC
• Morgan Alyssa Womble, PT, DPT
• Women in Power Home Health Care
• Women4Women OBGYN, LLC
• Bean Woo, MD
• Audrey Wood, M.S., SLP-CFY

• Physician Assistant in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.