MR. DALE ANDREWS JR. PA-C
NPI 1629616768
Physician Assistant - Surgical in Greenwood, SC

Active since December 19, 2019PECOS EnrolledAccepts Medicare Assignment
1506 SPRING ST, GREENWOOD, SC 29646(864) 725-7900(864) 725-7910 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2021, Dec 19, 2019 (2 updates tracked since 2019).

About Mr. Dale Andrews Jr. Pa-c NPPES

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

MR. DALE ANDREWS JR. PA-C (NPI 1629616768) is an individual surgical provider in Greenwood, South Carolina, licensed in South Carolina (5977) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1629616768
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DALE ANDREWS JR.Credential: PA-C
Location Address1506 SPRING STGreenwood, SC 29646-4071
Mailing Address1325 Spring StGreenwood, SC 29646-3875 · (864) 725-4673
Fax(864) 725-7910
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 19, 2019
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
NPI 1629616768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in SC · 5977
Also ListedPhysician AssistantTaxonomy 363A00000X · License 027289 (NY)
1506 SPRING ST, Greenwood, SC 29646

Secondary Practice Location 1

Location 1130 Wadsworth Ave Apt 24New York, NY 10033-4834 · Phone (843) 325-0178

Accepted 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

Mr. Dale Andrews Jr. Pa-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 ID2466823513
PECOS Enrollment IDI20250911004445
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

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

Physician Assistant
1506 SPRING ST
GREENWOOD, SC 29646
Podiatrist (Foot & Ankle Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Podiatrist (Foot & Ankle Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Nurse Practitioner (Acute Care)
1506 SPRING ST
GREENWOOD, SC 29646
Podiatrist (Foot & Ankle Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1506 SPRING ST
GREENWOOD, SC 29646
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1506 SPRING ST
GREENWOOD, SC 29646

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 Dale Andrews's NPI number?

The NPI number for Dale Andrews is 1629616768. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Where is Dale Andrews located?

Dale Andrews practices at 1506 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-7900.

What is Dale Andrews's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dale Andrews enrolled in Medicare?

Yes. Dale Andrews 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.

What insurance does Dale Andrews accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Dale Andrews 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.

Is Dale Andrews affiliated with any hospitals?

According to CMS data, Dale Andrews is affiliated with Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Dale Andrews was last updated on August 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.