Individual provider Active NPI

Andrew Clark Coleman, M.D.

  • Internal Medicine Physician
  • Paris, TN
National Provider Identifier
1770565459
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000027837 Issued in TN
Practice address
305 Tyson Ave
Paris, TN 38242-4579
Phone
(731) 642-0025
Fax
(731) 644-0899
NPI assigned
Nov 17, 2005
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000027837 TN Primary

Addresses

Primary practice location

305 Tyson Ave
Paris, TN 38242-4579

Mailing address

305 Tyson Ave
Paris, TN 38242-4579
Phone (731) 642-0025

Other names 1

  • Andrew Clark Coleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100219000385 TN Practitioner - Internal Medicine 9133263783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Vanderbilt University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians
Henry County Medical CenterGroup PAC ID 6002898665, 8 clinicians

Practice addresses (Care Compare)

14201 US-79
Unit 4
Buchanan, TN 38222
Phone (731) 407-7013

301 Tyson Ave
Paris, TN 38242-4544

305 Tyson Ave
Paris, TN 38242-4579
Phone (731) 642-0025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000027837TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center Current Accepting new patients
WT Medical Associates Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
West Tennessee Healthcare Henry County CurrentSince May 31, 2023 Accepting new patients
WT Medical Associates CurrentSince Oct 1, 2024 Accepting new patients
West Tennessee Healthcare Henry County CurrentSince Nov 9, 2024 Accepting new patients
Henry County Medical Center CurrentSince May 31, 2023 Accepting new patients
Paris Health Care Nursing and Rehabilitation Center LLC Past Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

239 Hospital Cir
Paris, TN 38242
Phone (731) 642-5700

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

305 Tyson Ave
Paris, TN 38242
Phone (731) 642-0025

Interoperability endpoints

  • Direct secure messaging: andrew.coleman@parishcc.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1770565459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424579",
            "telephone_number": "731-642-0025",
            "fax_number": "731-644-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424579",
            "telephone_number": "731-642-0025",
            "fax_number": "731-644-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ANDREW",
        "middle_name": "CLARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000027837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "COLEMAN",
            "middle_name": "CLARK",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.