Individual provider Active NPI

Andrew William Hull, PA

  • Physician Assistant
  • Johnson City, TN
National Provider Identifier
1811999857
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1250 Issued in TN
Practice address
1009 N State of Franklin Access Road
Johnson City, TN 37604-3693
Phone
(423) 929-7546
Fax
(423) 929-7968
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1250 TN Primary

Addresses

Primary practice location

1009 N State of Franklin Access Road
Johnson City, TN 37604-3693

Mailing address

1009 N State of Franklin Access Road
Johnson City, TN 37604-3693
Phone (423) 929-7546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000530 TN Practitioner - Physician Assistant 2365475662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricities Skin and Cancer.Group PAC ID 8527031954, 15 clinicians

Practice addresses (Care Compare)

1009 N State of Franklin Rd
Johnson City, TN 37604-3693
Phone (423) 929-7546

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
76.93
Improvement activities
40
Cost
81.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1250TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Physicians, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1811999857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N STATE OF FRANKLIN ACCESS ROAD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043693",
            "telephone_number": "423-929-7546",
            "fax_number": "423-929-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N STATE OF FRANKLIN ACCESS ROAD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043693",
            "telephone_number": "423-929-7546",
            "fax_number": "423-929-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.