Individual provider Active NPI

Andrew Gaines Harrell, M.D.

  • Surgery Physician
  • Tuscaloosa, AL
National Provider Identifier
1992739882
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00027428 Issued in AL
Practice address
1031 Fairfax Park
Tuscaloosa, AL 35406-2807
Phone
(205) 345-2211
Fax
(205) 345-2220
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00027428 AL Primary

Addresses

Primary practice location

1031 Fairfax Park
Tuscaloosa, AL 35406-2807

Mailing address

1031 Fairfax Park
Tuscaloosa, AL 35406-2807
Phone (205) 345-2211

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
I20061002000246 AL Practitioner - General Surgery 3173509510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Alabama Physician Associates LLCGroup PAC ID 3476620311, 36 clinicians

Practice addresses (Care Compare)

1031 Fairfax Park
Tuscaloosa, AL 35406-2807
Phone (205) 345-2212

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15
Melanoma (skin cancer) excision1-10
Removal of tissue231
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027428ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Apr 17, 2024 Accepting new patients
The DCH Healthcare Authority Current Accepting new patients
West Alabama Physician Associates, LLC CurrentSince May 1, 2023 Accepting new patients
West Alabama Physician Associates, LLC Surgery CurrentSince May 1, 2023 Accepting new patients
West Alabama Physician Associates, LLC Current Accepting new patients

Locations

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

701 University Blvd E
Ste 604
Tuscaloosa, AL 35401
Phone (205) 759-6925

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

1031 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 345-2211

Organizations & group practices 5

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 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1992739882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062807",
            "telephone_number": "205-345-2211",
            "fax_number": "205-345-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062807",
            "telephone_number": "205-345-2211",
            "fax_number": "205-345-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "ANDREW",
        "middle_name": "GAINES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00027428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.