Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PHILIP GORDON ANDRE MD
NPI 1619972338
Specialist in Atoka, TN

Active since June 17, 2005
11180 HWY 51 N., STE 3, ATOKA, TN 38004(901) 837-9910(901) 837-9914 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip Gordon Andre Md NPPES

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

DR. PHILIP GORDON ANDRE MD (NPI 1619972338) is an individual specialist in Atoka, Tennessee, licensed in Tennessee (39028) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1619972338
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PHILIP GORDON ANDRECredential: MD
Location Address11180 HWY 51 N., STE 3Atoka, TN 38004
Mailing Address11180 Hwy 51 N., Ste 3Atoka, TN 38004 · (901) 837-9910 · Fax (901) 837-9914
Fax(901) 837-9914
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1619972338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · 39028
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11180 HWY 51 N., Atoka, TN 38004

Other Identifiers 1

Medicaid3717404TN

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 Philip Andre's NPI number?

The NPI number for Philip Andre is 1619972338. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Philip Andre located?

Philip Andre practices at 11180 Hwy 51 N. Ste 3, Atoka, TN 38004. The listed phone number is (901) 837-9910.

What is Philip Andre's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Philip Andre was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.