Angelo D Andrews Sr., MB

Individual provider Active NPI Prosthetics Case Management · Tuskegee, AL

NPI 1962360164 · NPPES record last updated Jan 14, 2026

Key facts

NPI
1962360164
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetics Case Management 1744P3200X
License
130978 (AL)
Practice address
2400 Hospital Rd
Tuskegee, AL 36083-5001
Phone
(912) 228-9463
NPI assigned
Jan 14, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
130978ALMDProsthetics Case Management

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management
Group: 193200000X MULTI-SPECIALTY GROUP
1744P3200X 130978 AL Yes

Addresses

Primary practice location

2400 Hospital Rd
Tuskegee, AL 36083-5001

Mailing address

3517 N Georgetown Dr
Montgomery, AL 36109-2203
Phone (912) 228-9463

Other providers in Tuskegee, AL

All providers in Tuskegee, AL · Prosthetics Case Management in Alabama

Sources for this page

Verify at the official NPI Registry.