Andrew Russell Christie, D.O.
Individual provider Active NPI Internal Medicine Physician · Boaz, AL
NPI 1669747010 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1669747010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- DO.1410 (AL)
- Practice address
- 2505 US Highway 431
Boaz, AL 35957-5908 - Phone
- (256) 593-8310
- NPI assigned
- Mar 19, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Lincoln Memorial University Medical Department, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Geraldine Clinic LLC
Practice addresses (Care Compare)
13808 Al Hwy 227
Geraldine, AL 35974-3034
Phone (256) 659-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915001242 | AL | Practitioner - Internal Medicine | 2163664475 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1410 | AL | MD | Internal Medicine Physician |
| DO2555 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Geraldine Clinic LLC | Current |
Accepting new patients | |
| Marshall Medical Center South Diamond Hospital Services | Current |
Accepting new patients | |
| App of Alabama Ed PLLC | Current |
Accepting new patients | |
| Center Point Medical LLC | Current | Accepting new patients | |
| MMC Inpatient Physician Services | Current |
Accepting new patients | |
| HH Health System - Marshall LLC | Past | Accepting new patients |
Locations
2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
13808 AL Highway 227
Geraldine, AL 35974
Phone (256) 659-2000
41263 AL Highway 75
#D
Geraldine, AL 35974
Phone (256) 659-2000
8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
Interoperability endpoints
- andrew.christie@tgclinic.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO2555 | TN | |
| Internal Medicine Physician | 207R00000X | DO.1410 | AL | Yes |
Addresses
Primary practice location
2505 US Highway 431
Boaz, AL 35957-5908
Mailing address
2505 US Highway 431
Boaz, AL 35957-5908
Phone (256) 593-8310
Other practice location 1
41263 Al Highway 75 Ste D
Geraldine, AL 35974-3724
Phone (256) 659-2000
Other providers in Boaz, AL
- Jenna Carpenter
- Katherine Casey
- Central Alabama Emergency Physicians, LLC
- Carlos Chacon
- Mark H Christensen
- Jessica Cieszkowski
- City of Boaz
- Hollie Claburn
- Victoria Clay
- James Andrew Clement Jr.
All providers in Boaz, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.