Active NPI
Andrell Durden
- Contractor
- Adel, GA
National Provider Identifier
1760974463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 131 S Burwell Ave
Adel, GA 31620-2624 - Phone
- (229) 507-0156
- NPI assigned
- May 30, 2018
- Last updated
- May 30, 2018
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
131 S Burwell Ave
Adel, GA 31620-2624
Mailing address
PO Box 245
Adel, GA 31620-0245
Phone (229) 507-0156
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1760974463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 245",
"city": "ADEL",
"state": "GA",
"postal_code": "316200245",
"telephone_number": "229-507-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 S BURWELL AVE",
"city": "ADEL",
"state": "GA",
"postal_code": "316202624",
"telephone_number": "229-507-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURDEN",
"first_name": "ANDRELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adel, GA
- Joshannon Dickson, B.A.
- Dignity Senior Living
- Dr Tim Sellers, Optometrist (Family Vision Care)
- Dr. Kent Biehler LLC
- Caleb James Duggan
- Valorie Latrice Edwards
- Empyrean Hospice of Georgia, LLC
- Family Health Center of Adel, Inc. (Family Health Center of Adel)
- Thomas D Fausett Jr., MD
- Shelby Lynn Fulghum
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.