Individual provider Active NPI

Andrew Wayne Duggar, DPT

  • Physical Therapist
  • Flowood, MS
National Provider Identifier
1871858241
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5127 Issued in MS
Practice address
151 E Metro Dr Ste 106
Flowood, MS 39232-4403
Phone
(601) 664-7191
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5127 MS Primary

Addresses

Primary practice location

151 E Metro Dr Ste 106
Flowood, MS 39232-4403

Mailing address

606 McDonald Dr Apt F5
Clinton, MS 39056-5303
Phone (662) 571-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000734 MS Practitioner - Physical Therapist in Private Practice 1951559392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South - Gluckstadt LLCGroup PAC ID 5799018594, 5 clinicians
Therapy South - Ridgeland LLCGroup PAC ID 4587199948, 4 clinicians

Practice addresses (Care Compare)

1716 US
51 Suite N
Madison, MS 39110-5019
Phone (601) 499-5780

500 Hwy 51
Suite a
Ridgeland, MS 39157-2885
Phone (601) 769-2990

Merit-based Incentive Payment System (MIPS)

Final score
85.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
53.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South - Gluckstadt LLC Physical Therapist CurrentSince May 20, 2019 Accepting new patients
Therapy South - Ridgeland LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Medicomp, Inc Physical Therapist Past Accepting new patients
Medicomp, Inc Physical Therapist PastSince Mar 15, 2011 Accepting new patients
Medicomp, Inc Physical Therapist PastSince Nov 15, 2011 Accepting new patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients

Locations

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

1716 Highway 51
Ste N
Madison, MS 39110
Phone (601) 499-5780

500 Highway 51
Ste A
Ridgeland, MS 39157
Phone (601) 769-2990

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1871858241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 MCDONALD DR APT F5",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565303",
            "telephone_number": "662-571-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E METRO DR STE 106",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392324403",
            "telephone_number": "601-664-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAR",
        "first_name": "ANDREW",
        "middle_name": "WAYNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.