Individual provider Active NPI

Andrea G Furlong, PA-C

  • Physician Assistant
  • Hampton, VA
National Provider Identifier
1942554647
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3001661224-0001 Issued in VA
Practice address
901 Enterprise Pkwy Ste 900
Hampton, VA 23666-6250
Phone
(757) 827-2480
Fax
(757) 827-2566
NPI assigned
Nov 1, 2012
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3001661224-0001 VA Primary

Addresses

Primary practice location

901 Enterprise Pkwy Ste 900
Hampton, VA 23666-6250

Mailing address

901 Enterprise Pkwy Ste 900
Hampton, VA 23666-6250
Phone (757) 827-2480

Other practice location 1

117 Zenith Loop
Newport News, VA 23601-1277
Phone (417) 619-7754

Other identifiers 2

IdentifierTypeStateIssuer
3001661224-0002MedicaidVA
3001661224-0001MedicaidVA

Other names 1

  • Andrea G Ligon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017003484 VA Practitioner - Physician Assistant 8820241615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 Enterprise Pkwy
Suite 900
Hampton, VA 23666-6250
Phone (757) 827-2480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.1 of 100Reported as group
Quality
91.92
Promoting interoperability
97
Improvement activities
40
Cost
90.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3001661224-0001VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Orthopaedic Associates Inc CurrentSince Sep 15, 2017 Accepting new patients

Locations

901 Enterprise Pkwy
Ste 900
Hampton, VA 23666
Phone (757) 827-2480

7007 Harbour View Blvd
Ste 108
Suffolk, VA 23435
Phone (757) 215-2784

4037 Ironbound Rd
Williamsburg, VA 23188
Phone (757) 206-1004

Interoperability endpoints

  • Direct secure messaging: andrea.furlong@toa.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1942554647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 900",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666250",
            "telephone_number": "757-827-2480",
            "fax_number": "757-827-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 900",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666250",
            "telephone_number": "757-827-2480",
            "fax_number": "757-827-2566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Zenith Loop",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011277",
            "country_code": "US",
            "telephone_number": "417-619-7754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURLONG",
        "first_name": "ANDREA",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "3001661224-0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001661224-0002",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001661224-0001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LIGON",
            "middle_name": "G",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.