MS. ANDREA M DELOACH FNP-C
NPI 1114007044
Nurse Practitioner - Family in Waycross, GA

Q: What is Andrea Deloach's NPI number?

The NPI number for Andrea Deloach is 1114007044. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Andrea Deloach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Deloach was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment

711 KNIGHT AVE, WAYCROSS, GA 31501(912) 283-9423(912) 283-2946 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2021, Mar 31, 2016 (2 updates tracked since 2016).

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About Ms. Andrea M Deloach Fnp-c NPPES

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

MS. ANDREA M DELOACH FNP-C (NPI 1114007044) is an individual family provider in Waycross, Georgia, licensed in Georgia (RN072616) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Satilla Health, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1114007044

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ANDREA M DELOACHCredential: FNP-C

Location Address711 KNIGHT AVEWaycross, GA 31501-1943

Mailing Address711 Knight AveWaycross, GA 31501-1943 · (912) 283-9423 · Fax (912) 283-2946

Phone(912) 283-9423

Fax(912) 283-2946

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateOctober 16, 2006

Last NPPES UpdateJune 11, 20212 updates tracked since enumeration

NPPES CertifiedJune 11, 2021

✔ NPI 1114007044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN072616

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License RN072616 (GA)

711 KNIGHT AVE, Waycross, GA 31501

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Other Identifiers 3

Medicaid00560381BGA

OtherCG6045GA · Railroad Medicare Group Id

Other1114007044GA · Medicare Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Andrea M Deloach Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537263637

PECOS Enrollment IDI20070329000447

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Satilla Health

Acute Care Hospitals · Waycross, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110003

Location1900 Tebeau StreetWaycross, GA 31501 · Ware County

Emergency services

Bacon County Hospital

Critical Access Hospitals · Alma, GA

OwnershipVoluntary non-profit - Other

CMS Certification Number111327

Location302 South Wayne StreetAlma, GA 31510 · Bacon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers11 claims11 services$74.55 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers13 claims13 services$22.11 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers17 claims48 services$3.20 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$20.08 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers14 claims14 services$7.35 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers26 claims26 services$47.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. ROXY J SHEFFIELD P.A.

Physician Assistant (Medical)