Individual provider Active NPI

Andrew M Yang, MD

  • Family Medicine Physician
  • Niceville, FL
National Provider Identifier
1679558852
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME83436 Issued in FL
Practice address
2001 E Highway 20
Family Practice Department
Niceville, FL 32578-8826
Phone
(850) 897-4400
Fax
(850) 897-0623
NPI assigned
Dec 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME83436 FL Primary

Addresses

Primary practice location

2001 E Highway 20
Family Practice Department
Niceville, FL 32578-8826

Mailing address

2001 E. Highway 20
Family Medicine Department
Niceville, FL 32578-6707
Phone (850) 897-4400

Other identifiers 2

IdentifierTypeStateIssuer
267191300MedicaidFL
29233OtherFLBCBSFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000231 FL Practitioner - Family Practice 0840331708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White-Wilson Medical Center PAGroup PAC ID 4082510607, 48 clinicians

Practice addresses (Care Compare)

1332 N Ferdon Blvd
Crestview, FL 32536-1749
Phone (850) 634-6193

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
76.75
Promoting interoperability
99
Improvement activities
40
Cost
70.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83436FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Florida, LLC Family Medicine CurrentSince Jul 21, 2021 Accepting new patients
Baptist Medical Group LLC Family Medicine Past Accepting new patients

Locations

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

Interoperability endpoints

  • Direct secure messaging: andrew.yang.1@21123.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1679558852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E. HIGHWAY 20",
            "address_2": "FAMILY MEDICINE DEPARTMENT",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325786707",
            "telephone_number": "850-897-4400",
            "fax_number": "850-897-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E HIGHWAY 20",
            "address_2": "FAMILY PRACTICE DEPARTMENT",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788826",
            "telephone_number": "850-897-4400",
            "fax_number": "850-897-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267191300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "29233",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.