Individual provider Active NPI

Andrew David Nicholson, MD

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1528293701
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
59886 Issued in TN
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

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
128439400MedicaidFL
9000188520MedicaidCO
V8349OtherFLHFMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191108003036 TN Practitioner - Interventional Radiology 8527367978 Reassigns benefits to 3 organizations
I20250327000360 GA Practitioner - Diagnostic Radiology 8527367978 Reassigns benefits to 1 organization
I20250908002044 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8527367978 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians

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 Hospital, Burbank, CA, CCN 050235
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Nov 1, 2022 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince May 22, 2025 Accepting new patients
Health First Medical Group, LLC Neurological Surgery CurrentSince Sep 29, 2025 Accepting new patients
Health First Medical Group, LLC CurrentSince Sep 29, 2025 Accepting new patients
University Health System Inc Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Universal Radiology Partners of Florida LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Feb 14, 2025 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Apr 1, 2025 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

  • Direct secure messaging: anicholson81054@directmcleodehealth.org
  • Direct secure messaging: anicholson92724@direct.carilionclinic.org
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.