Active NPI
Andrew David Nicholson, MD
- Diagnostic Radiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 59886
- Practice address
- 1932 Alcoa Hwy Ste C360
Knoxville, TN 37920-1509 - Phone
- (865) 558-0225
- Fax
- (865) 540-3857
- NPI assigned
- May 18, 2009
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101261859 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | CDR.0001425 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 59886 | TN | Primary |
| Neurological Surgery Physician | 207T00000X | 59886 | TN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME172614 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 0101261859 | VA |
Addresses
Primary practice location
1932 Alcoa Hwy Ste C360
Knoxville, TN 37920-1509
Mailing address
PO Box 11167
Knoxville, TN 37939-1167
Phone (865) 584-7376
Other practice location 1
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-8544
Other practice location 2
2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907-6865
Phone (719) 776-3580
Other practice location 3
2331 Franklin Rd SW
Roanoke, VA 24014-1111
Phone (540) 224-5170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128439400 | Medicaid | FL | |
| 9000188520 | Medicaid | CO | |
| V8349 | Other | FL | HFMG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
1640 Whispering Hills Dr
Franklin, TN 37069-7241
Phone (818) 639-2901
3424 Collonade Dr
Wellington, FL 33449-8062
Phone (818) 639-2901
4309 B Sneed Rd
Nashville, TN 37215-3215
Phone (818) 435-1433
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
Hospital & facility affiliations
- Providence Saint Joseph Medical Ctr
- Northridge Hospital Medical Center
- Glendale Mem Hospital & HLTH Center
- Antelope Valley Hospital
- Valley Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 86.23
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System, Inc | Current | Accepting new patients | |
| University Health System Inc | Current | Accepting new patients | |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Neurological Surgery | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| University Health System Inc | Diagnostic Radiology | Current | Accepting new patients |
| Universal Radiology Partners of Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401
2740 SW Martin Downs Blvd
Palm City, FL 34990
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960
1928 Alcoa Hwy
Ste B315
Knoxville, TN 37920
Phone (865) 558-0225
11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570
1924 Alcoa Hwy
#U107
Knoxville, TN 37920
Phone (865) 305-8685
Interoperability endpoints
- anicholson81054@directmcleodehealth.org
- anicholson92724@direct.carilionclinic.org
- anicholson159652@epicdirect.hf.org
Organizations & group practices 13
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.
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1144872052
FL, TN
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Neurological Surgery
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
FL, TN
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Diagnostic Radiology Physician
- Wellington, FL
- NPI 1225836703
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1639894397
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
-
- Urgent Care Clinic/Center
- Stuart, FL
- NPI 1306351481
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1528293701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11167",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379391167",
"telephone_number": "865-584-7376",
"fax_number": "865-540-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 ALCOA HWY STE C360",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201509",
"telephone_number": "865-558-0225",
"fax_number": "865-540-3857"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-8544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 N Nevada Ave Ste 5001",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809076865",
"country_code": "US",
"telephone_number": "719-776-3580",
"fax_number": "719-776-3599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2331 Franklin Rd SW",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141111",
"country_code": "US",
"telephone_number": "540-224-5170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLSON",
"first_name": "ANDREW",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-18",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101261859",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "CDR.0001425",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "59886",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TN",
"license": "59886",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME172614",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101261859",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128439400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000188520",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFMG",
"identifier": "V8349",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- Misty Renee Nichols, FNP-BC
- Nadine E. Nichols, OWNER,MANAGER
- Phillip Lynn Nichols II, MD
- Sharon Nichols, RN, IBCLC, RLC
- Stephnaie Johnson Nichols, PHARMD
- Angelyn Nicholson, MSSW, LCSW
- Brenda Pittman Nicholson, MD
- Catherine Porter Nicholson, PNP
- Rebecca Goldston Nicholson, FNP-BC
- Carla M Nickel Gee, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.