ANDREW BROWN KING PHD
NPI 1164079554
Psychologist - Clinical in Ponte Vedra Beach, FL

Q: What is Andrew King's NPI number?

The NPI number for Andrew King is 1164079554. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Q: What is Andrew King's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrew King was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

400 COLONNADE DR STE 230, PONTE VEDRA BEACH, FL 32081(904) 376-3800 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2022, May 13, 2022, Jun 10, 2021 and 1 more (4 updates tracked since 2019).

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About Andrew Brown King Phd NPPES

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

ANDREW BROWN KING PHD (NPI 1164079554) is an individual clinical provider in Ponte Vedra Beach, Florida, licensed in Florida (PY9519) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1164079554

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameANDREW BROWN KINGCredential: PHD

Location Address400 COLONNADE DR STE 230Ponte Vedra Beach, FL 32081-6236

Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998

Phone(904) 376-3800

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 21, 2019

Last NPPES UpdateAugust 5, 20224 updates tracked since enumeration

NPPES CertifiedAugust 5, 2022

✔ NPI 1164079554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY9519

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

400 COLONNADE DR STE 230, Ponte Vedra Beach, FL 32081

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Brown King Phd 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 ID1850621608

PECOS Enrollment IDI20190923000664

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Behavioral Health, LLC

20 mi

Professional

841 PRUDENTIAL DR STE 1350
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
176 clinicians in this Medicare group

NPI 1215906649 (904) 376-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

151 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

MS. SHARON MARIE DESMARAIS MD

Obstetrics & Gynecology

400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

St. Johns County (904) 640-8249

DR. MEGAN LEANNE KRANTZ PHD

Psychologist (Clinical)

400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081

St. Johns County (904) 376-3800

TYRA JEAN GUNN APRN

Nurse Practitioner (Women's Health)

400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

St. Johns County (904) 640-8249

DR. CHRISTINA STOUGH ADAMS MD

Obstetrics & Gynecology

400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

St. Johns County (904) 640-8249

LYERLY BAPTIST INC

Family Medicine (Obesity Medicine)

400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

St. Johns County (904) 202-1795

BRITTANY BUCHANAN KELLY APRN

Nurse Practitioner (Family)

400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

St. Johns County (904) 640-8249

DR. BLAKE DAVID BUTTERWORTH M.D.

Obstetrics & Gynecology

400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

St. Johns County (904) 640-8249

SHEA KATHLEEN O'BRIEN MD

Obstetrics & Gynecology

400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

St. Johns County (904) 640-8249

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 Andrew King's NPI number?

The NPI number for Andrew King is 1164079554. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Andrew King located?

Andrew King practices at 400 Colonnade Dr Ste 230, Ponte Vedra Beach, FL 32081. The listed phone number is (904) 376-3800.

What is Andrew King's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrew King enrolled in Medicare?

Yes. Andrew King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew King reassigns Medicare benefits to Baptist Behavioral Health, LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew King accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Andrew King as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew King was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.