Individual provider Active NPI

Andy William Anderson, DC

  • Chiropractor
  • Inverness, FL
National Provider Identifier
1508440892
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13534 Issued in FL
Practice address
2220 Highway 44 W
Inverness, FL 34453-3860
Phone
(352) 340-5936
NPI assigned
May 12, 2021
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13534 FL Primary

Addresses

Primary practice location

2220 Highway 44 W
Inverness, FL 34453-3860

Mailing address

2220 Highway 44 W
Inverness, FL 34453-3860
Phone (352) 340-5936

Other practice location 1

9206 State Road 52
Hudson, FL 34669-3029
Phone (727) 862-8571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025002299 FL Practitioner - Chiropractic 1052709078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Center for Wellness IncGroup PAC ID 9436250032, 11 clinicians

Practice addresses (Care Compare)

9206 State Rd Rd
Suite 52
Hudson, FL 34669-3029
Phone (727) 862-8571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13534FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center for Wellness Inc Chiropractor CurrentSince Oct 1, 2021 Accepting new patients
Hoffman Chiropractic Wellness PA Chiropractor CurrentSince Jul 31, 2023 Accepting new patients
Gary a. Goerg, DC, PA Chiropractor PastSince May 1, 2021 Accepting new patients

Locations

3155 Aerial Way
Brooksville, FL 34604
Phone (352) 283-8388

9206 State Road 52
Hudson, FL 34669
Phone (727) 312-1043

2220 Highway 44 W
Inverness, FL 34453
Phone (352) 340-5936

8403 Balm St
Weeki Wachee, FL 34607
Phone (352) 340-5936

8411 Balm St
Weeki Wachee, FL 34607
Phone (352) 340-5936

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1508440892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533860",
            "telephone_number": "352-340-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533860",
            "telephone_number": "352-340-5936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9206 State Road 52",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346693029",
            "country_code": "US",
            "telephone_number": "727-862-8571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDY",
        "middle_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-12",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.