Active NPI
John Paul Andrew, DO
- Psychiatry Physician
- Shaw Afb, SC
National Provider Identifier
1689255374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0102207402
- Practice address
- 431 Meadowlark St
Shaw Afb, SC 29152-5019 - Phone
- (803) 895-2273
- NPI assigned
- Apr 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0102207402 | VA | Primary |
Addresses
Primary practice location
431 Meadowlark St
Shaw Afb, SC 29152-5019
Mailing address
420 Polifka Dr
Shaw Afb, SC 29152-5100
Phone (803) 895-6356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207402 | VA | MD | Psychiatry Physician |
Interoperability endpoints
- jandrew34282@direct.utmsa.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1689255374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 POLIFKA DR",
"city": "SHAW AFB",
"state": "SC",
"postal_code": "291525100",
"telephone_number": "803-895-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 MEADOWLARK ST",
"city": "SHAW AFB",
"state": "SC",
"postal_code": "291525019",
"telephone_number": "803-895-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREW",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102207402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaw Afb, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.