Philip Gordon Andre, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

39028 Issued in TN

Practice address

11180 Hwy 51 N.
Ste 3
Atoka, TN 38004

Phone

(901) 837-9910

Fax

(901) 837-9914

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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.

• Bell Internal Medicine PC

  • Legal Medicine
  • Atoka, TN
  • NPI 1003916891
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619972338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 HWY 51 N.",
            "address_2": "STE 3",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "38004",
            "telephone_number": "901-837-9910",
            "fax_number": "901-837-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 HWY 51 N.",
            "address_2": "STE 3",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "38004",
            "telephone_number": "901-837-9910",
            "fax_number": "901-837-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "PHILIP",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "39028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717404",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Denise Adams, REGISTERED NURSE
• Shameela N Ahmed, MD
• All in a Daze Transitions LLC
• Ashley Nicole Armstrong, FNP-C
• Kelli Askam, FNP-BC
• Atoka Medical Clinic, Inc
• Michael Bailey, PHARMD
• Kristen Marie Baskin, OD

• All providers in Atoka, TN
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.