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MR. AMELITO MANUEL LOGRONIO ANDAYA M.D.
NPI 1093457392
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since April 08, 2022PECOS Enrolled
1270 PRINCE AVE., SUITE 102, ATHENS, GA 30606(706) 475-7055 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2023, Apr 8, 2022 (2 updates tracked since 2022).

About Mr. Amelito Manuel Logronio Andaya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. AMELITO MANUEL LOGRONIO ANDAYA M.D. (NPI 1093457392) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093457392
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. AMELITO MANUEL LOGRONIO ANDAYACredential: M.D.
Location Address1270 PRINCE AVE., SUITE 102Athens, GA 30606
Mailing Address1199 Prince Ave. #70Athens, GA 30606 · (706) 475-1826
Phone(706) 475-7055
Sole ProprietorNo
Enumeration DateApril 8, 2022
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1093457392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1270 PRINCE AVE., Athens, GA 30606
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Amelito Manuel Logronio Andaya M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEAH ANNE REID M.D.
Hospitalist
1270 PRINCE AVE., SUITE 201
ATHENS, GA 30606
Clarke County (706) 475-7055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amelito Manuel Andaya's NPI number?

The NPI number for Amelito Manuel Andaya is 1093457392. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Amelito Manuel Andaya located?

Amelito Manuel Andaya practices at 1270 Prince Ave. Suite 102, Athens, GA 30606. The listed phone number is (706) 475-7055.

What is Amelito Manuel Andaya's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amelito Manuel Andaya enrolled in Medicare?

Yes. Amelito Manuel Andaya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amelito Manuel Andaya was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.