Individual provider Active NPI

Andrew Pace Dabbs, M.D.

  • Surgery Physician
  • Philadelphia, MS
National Provider Identifier
1871538652
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16018 Issued in MS
Practice address
1003 Holland Ave Ste 101
Philadelphia, MS 39350-2180
Phone
(601) 663-1234
Fax
(601) 663-1236
NPI assigned
Jun 17, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.0071251 CO
Surgery Physician 208600000X 16018 MS Primary
Surgery Physician 208600000X 209728 AK

Addresses

Primary practice location

1003 Holland Ave Ste 101
Philadelphia, MS 39350-2180

Mailing address

1003 Holland Ave
Suite 101
Philadelphia, MS 39350-2161
Phone (601) 663-1234

Other practice location 1

1000 Lincoln St Ste 208
Fort Morgan, CO 80701-3290
Phone (970) 542-4371

Other practice location 2

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, CO, NE, AK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20051129000355 MS Practitioner - General Surgery 8527088186 Reassigns benefits to 2 organizations
I20230915000567 CO Practitioner - General Surgery 8527088186 Reassigns benefits to 1 organization
I20240207003070 NE Practitioner - General Surgery 8527088186 Reassigns benefits to 1 organization
I20241220000483 AK Practitioner - General Surgery 8527088186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neshoba County General HospitalGroup PAC ID 6204738289, 30 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
PeacehealthGroup PAC ID 9436067618, shared by 5 NPIs, 71 clinicians

Practice addresses (Care Compare)

1003 Hollad Ave
Philadelphia, MS 39350-2180
Phone (601) 663-1234

1010 Three Springs Blvd
Durango, CO 81301-8296

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy62
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux31
Melanoma (skin cancer) excision39
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209728AKMDSurgery Physician
DR.0071251COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital Current Accepting new patients
Neshoba County General Hospital CurrentSince Jan 1, 2018 Accepting new patients
Neshoba County General Hospital CurrentSince Jan 1, 2018 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Jun 1, 2023 Accepting new patients
CHI Health Clinic Specialty, LLC Surgery CurrentSince Feb 12, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Surgery CurrentSince Oct 8, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Vicksburg Healthcare LLC CurrentSince Jun 1, 2023 Accepting new patients
Peacehealth Surgery CurrentSince Dec 24, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 8, 2023 Accepting new patients
Neshoba Family Medical Clinic PastSince Oct 1, 2004 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1 Mercado St
Ste 220
Durango, CO 81301
Phone (970) 247-4448

1000 Lincoln St
Ste 207
Fort Morgan, CO 80701
Phone (970) 542-4371

1000 Lincoln St
Ste 208
Fort Morgan, CO 80701
Phone (970) 542-4371

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

1003 Holland Ave
Philadelphia, MS 39350
Phone (601) 656-0010

1003 Holland Ave
Ste 1
Philadelphia, MS 39350

1003 Holland Ave
Ste 101
Philadelphia, MS 39350
Phone (601) 663-1234

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

705 Orleans Dr
Grand Island, NE 68803
Phone (308) 369-5359

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: andrewdabbs@neshobahealth.cernerdirect.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1871538652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HOLLAND AVE",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-663-1234",
            "fax_number": "601-663-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HOLLAND AVE STE 101",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502180",
            "telephone_number": "601-663-1234",
            "fax_number": "601-663-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Lincoln St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "807013290",
            "country_code": "US",
            "telephone_number": "970-542-4371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABBS",
        "first_name": "ANDREW",
        "middle_name": "PACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0071251",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "16018",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "209728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.