Active NPI
Andrew Case, PH.D.
- Psychologist
- Athens, GA
National Provider Identifier
1700039732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-P000182
- Practice address
- 105A Cedar Rock Trace
Suite 5
Athens, GA 30605 - Phone
- (678) 677-4851
- NPI assigned
- Nov 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-P000182 | GA | Primary |
Addresses
Primary practice location
105A Cedar Rock Trace
Suite 5
Athens, GA 30605
Mailing address
105A Cedar Rock Trace
Suite 5
Athens, GA 30605
Phone (678) 677-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2995 | GA | MD | Professional Counselor |
| PS-P000182 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1700039732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105A CEDAR ROCK TRACE",
"address_2": "SUITE 5",
"city": "ATHENS",
"state": "GA",
"postal_code": "30605",
"telephone_number": "678-677-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105A CEDAR ROCK TRACE",
"address_2": "SUITE 5",
"city": "ATHENS",
"state": "GA",
"postal_code": "30605",
"telephone_number": "678-677-4851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PS-P000182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.