Individual provider Active NPI

Andrew Scott Dukes, M.D.

  • Family Medicine Physician
  • Fairhope, AL
National Provider Identifier
1902890171
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00015217 Issued in AL
Practice address
300 Greeno Rd S
Suite B
Fairhope, AL 36532-1905
Phone
(251) 929-3424
Fax
(251) 929-0545
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00015217 AL Primary

Addresses

Primary practice location

300 Greeno Rd S
Suite B
Fairhope, AL 36532-1905

Mailing address

300 Greeno Rd S
Suite B
Fairhope, AL 36532-1905
Phone (251) 929-3424

Other identifiers 1

IdentifierTypeStateIssuer
000082367MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000328 AL Practitioner - Family Practice 0648271395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Eastern Shore Adult Medicine, LLCGroup PAC ID 3375718042, 19 clinicians

Practice addresses (Care Compare)

300 Greeno Rd S
Fairhope, AL 36532-1905
Phone (251) 929-3424

Hospital & facility affiliations

  • Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
  • Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
  • Amedisys Home Health of Foley Home health agency, Foley, AL, CCN 017069
  • Enhabit Home Health Home health agency, Mobile, AL, CCN 017155
  • Springhill Home Health and Hospice Home health agency, Mobile, AL, CCN 017066
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15217ALMDPharmacist
00015217ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Eastern Shore Adult Medicine, LLC CurrentSince Jan 1, 2013 Accepting new patients
Charles B. Lovelady, M.D., P.C. Past Accepting new patients

Locations

300 Greeno Rd S
#B
Fairhope, AL 36532
Phone (251) 929-3424

300 Greeno Rd S
Fairhope, AL 36532
Phone (251) 928-9560

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.

Hospital & facility affiliations 7

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1902890171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GREENO RD S",
            "address_2": "SUITE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-3424",
            "fax_number": "251-929-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GREENO RD S",
            "address_2": "SUITE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-3424",
            "fax_number": "251-929-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00015217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000082367",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.