Individual provider Active NPI

Andrew Coleman, P.A.-C

  • Physician Assistant
  • Florence, AL
National Provider Identifier
1982062642
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
205 Marengo St.
Eliza Coffee Memorial Hospital
Florence, AL 35636
Phone
(256) 768-8764
NPI assigned
Feb 9, 2016
Last updated
Feb 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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 Primary

Addresses

Primary practice location

205 Marengo St.
Eliza Coffee Memorial Hospital
Florence, AL 35636

Mailing address

4749 Fulmar Dr
Irondale, AL 35210-3334
Phone (615) 854-1828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160324001433 TN Practitioner - Physician Assistant 2769789312 Reassigns benefits to 3 organizations
I20230223001480 FL Practitioner - Physician Assistant 2769789312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

142 Gale Park LN
Nashville, TN 37204-2961
Phone (615) 312-0600

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

2221 Murphy Ave
Nashville, TN 37203-1538
Phone (615) 324-2192

2290 Jack Teasley Rd
Pleasant View, TN 37146-9103
Phone (615) 312-0600

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2502 Essex PL
Nashville, TN 37212-4120
Phone (615) 312-0600

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone (615) 824-7249

4809 Belmont Park Ter
Nashville, TN 37215-4421
Phone (843) 876-5556

5626 Cottonport Dr
Brentwood, TN 37027-5311
Phone (615) 312-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2988TNMDProfessional Counselor

Organizations & group practices 4

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1982062642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 FULMAR DR",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103334",
            "telephone_number": "615-854-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST.",
            "address_2": "ELIZA COFFEE MEMORIAL HOSPITAL",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35636",
            "telephone_number": "256-768-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ANDREW",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.