Active NPI
Andrew Joseph Hogan, M.D.
- Family Medicine Physician
- Ponte Vedra, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME147276
- Practice address
- 351 Town Plaza Ave Ste 105a
Ponte Vedra, FL 32081-5178 - Phone
- (904) 819-3233
- Fax
- (904) 456-0819
- NPI assigned
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME147276 | FL | Primary |
Addresses
Primary practice location
351 Town Plaza Ave Ste 105a
Ponte Vedra, FL 32081-5178
Mailing address
PO Box 3266
Saint Augustine, FL 32085-3266
Other practice location 1
554 Keily Street
Bureau Med Surg; Attn: Credentialing & Privileging
Jacksonville, FL 32212
Phone (850) 292-8811
Other practice location 2
120 Palencia Village Dr Ste 107
Saint Augustine, FL 32095-8553
Phone (904) 819-3200
Other practice location 3
33 Old Kings Rd N Ste 3
Palm Coast, FL 32137-8238
Phone (386) 445-1100
Other practice location 4
201 Health Park Blvd Ste 215
Saint Augustine, FL 32086-5797
Phone (904) 824-3777
Other practice location 5
70 Turin Ter Ste 100
Saint Augustine, FL 32092-0849
Phone (904) 819-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Florida State University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615
351 Town Plaza Ave
Ponte Vedra, FL 32081-5179
Hospital & facility affiliations
- Flagler Hospital
- Shands Jacksonville
- Baptist Health Medical Center - Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 77.66
- Promoting interoperability
- 70.54
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagler Professional Health Care Services, Inc. | Current | Accepting new patients | |
| Flagler Professional Health Care Services, Inc. | Family Medicine | Current | Accepting new patients |
| Villages Regional Hospital Physician Services LLC | Current | Accepting new patients |
Locations
33 Old Kings Rd N
Ste 3
Palm Coast, FL 32137
Phone (386) 445-1100
351 Town Plaza Ave
Ste 105A
Ponte Vedra, FL 32081
Phone (904) 819-3233
120 Palencia Village Dr
Ste 107
Saint Augustine, FL 32095
Phone (904) 819-3200
120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200
201 Health Park Blvd
Ste 215
St Augustine, FL 32086
Phone (904) 373-1177
70 Turin Ter
Ste 100
St Augustine, FL 32092
Phone (904) 819-1101
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
Interoperability endpoints
- ahogan741084@direct.shands.ufl.edu
Organizations & group practices 3
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.
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
-
- Family Medicine Physician
- St Augustine, FL
- NPI 1023672573
-
- Urgent Care Clinic/Center
- St. Augustine, FL
- NPI 1598507014
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1902245103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3266",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320853266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 TOWN PLAZA AVE STE 105A",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320815178",
"telephone_number": "904-819-3233",
"fax_number": "904-456-0819"
}
],
"practiceLocations": [
{
"address_1": "554 Keily Street",
"address_2": "Bureau Med Surg; Attn: Credentialing & Privileging",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32212",
"country_code": "US",
"telephone_number": "850-292-8811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Palencia Village Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Saint Augustine",
"state": "FL",
"postal_code": "320958553",
"country_code": "US",
"telephone_number": "904-819-3200",
"fax_number": "904-819-3201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33 Old Kings Rd N Ste 3",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321378238",
"country_code": "US",
"telephone_number": "386-445-1100",
"fax_number": "386-445-1408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Health Park Blvd Ste 215",
"address_purpose": "LOCATION",
"city": "Saint Augustine",
"state": "FL",
"postal_code": "320865797",
"country_code": "US",
"telephone_number": "904-824-3777",
"fax_number": "904-824-6050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 Turin Ter Ste 100",
"address_purpose": "LOCATION",
"city": "Saint Augustine",
"state": "FL",
"postal_code": "320920849",
"country_code": "US",
"telephone_number": "904-819-1200",
"fax_number": "904-819-1199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGAN",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-20",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME147276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.