Andrew Garrison Baxley, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Waco, TX
NPI 1851997100 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1851997100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1600 Providence Dr
Waco, TX 76707-2261 - Phone
- (254) 313-4200
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1600 Providence Dr
Waco, TX 76707-2291
PO Box
Suite 5478
Pawtucket, RI 02862-5478
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260225000700 | TX | Order and Referring Only - Family Practice |
3678054947 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1600 Providence Dr
Waco, TX 76707-2261
Mailing address
1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200
Other providers in Waco, TX
- Brian D Battles
- Jeffrey Alan Bauer
- Michael Bauer
- John Thomas Baughman
- Kamalpreet Bawa
- Baxter Hearing Specialists
- Baxter Hearing Specialists
- Baylor Scott & White Health Enterprises, Inc.
- Baylor Scott & White Health Enterprises, Inc.
- Baylor Scott & White Health Enterprises, Inc.
All providers in Waco, TX · Student in an Organized Health Care Education/Training Program in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.