Active NPI
Adrian Andrews, PA
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1689608598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103249
- Practice address
- 14300 Fang Dr
BLDG #3
Jacksonville, FL 32218-7933 - Phone
- (954) 696-2828
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 10, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103249 | FL | Primary |
Addresses
Primary practice location
14300 Fang Dr
BLDG #3
Jacksonville, FL 32218-7933
Mailing address
13000 Broxton Bay Dr
# 308
Jacksonville, FL 32218-8390
Phone (954) 696-2828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U7403T | Other | FL | RAILROAD MEDICARE |
| 292544300 | Medicaid | FL |
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006882 | GA | MD | Occupational Therapist |
| PA9103249 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Jax Mobile Urgent Care | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| FMC Emergency Solutions LLC | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1336824382
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1265693279
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Emergency Medicine Physician
- Lauderdale Lakes, FL
- NPI 1255435475
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1689608598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 BROXTON BAY DR",
"address_2": "# 308",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322188390",
"telephone_number": "954-696-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 FANG DR",
"address_2": "BLDG #3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322187933",
"telephone_number": "954-696-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "ADRIAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "U7403T",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292544300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.