1. Home
  2. Directory
  3. Georgia
  4. Fort Moore
  5. Physician Assistant
  6. NPI Profile

MR. ANDREW BORDELON PA-C
NPI 1639530199
Physician Assistant in Fort Moore, GA

Active since March 11, 2016
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905(850) 885-2174 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andrew Bordelon Pa-c NPPES

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

MR. ANDREW BORDELON PA-C (NPI 1639530199) is an individual physician assistant in Fort Moore, Georgia, licensed in Florida (1133017) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1639530199
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ANDREW BORDELONCredential: PA-C
Location Address6600 VAN AALST BLVD BLDG 9250Fort Moore, GA 31905-2102
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8400
Phone(850) 885-2174
Sole ProprietorYes
Enumeration DateMarch 11, 2016
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1639530199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · 1133017✔ Licensed in KY · 1133017
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6600 VAN AALST BLVD BLDG 9250, Fort Moore, GA 31905
Open in Google Maps ↗

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.

JUSTIN RICHEL
Student in an Organized Health Care Education/Training Program
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Muscogee County (762) 408-2613
PATRICIA LEA MARRERO
Nurse Practitioner (Family)
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Muscogee County (762) 408-0456
BRIAN DOUGLAS FOOR PA
Physician Assistant (Surgical)
6600 VAN AALST BLVD BLDG 9250
COLUMBUS, GA 31905
Muscogee County (706) 408-3356
MATTHEW GALE PT, DPT, NCS, OCS
Physical Therapist
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Muscogee County (762) 408-0455
VIRGINIA LADNER MS, RD, LD
Dietitian, Registered
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Muscogee County (404) 561-5456
DR. YOLANDA GRAY-DAVIS M.D.
Family Medicine
6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
DR. RAYMOND DANIEL VICKERY DO
Family Medicine
6600 VAN AALST BLVD BLDG 9250
FORT BENNING, GA 31905
Muscogee County (762) 408-2532
RUIZHI WU
Student in an Organized Health Care Education/Training Program
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905
Muscogee County (762) 408-2613

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 Bordelon's NPI number?

The NPI number for Andrew Bordelon is 1639530199. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Where is Andrew Bordelon located?

Andrew Bordelon practices at 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905. The listed phone number is (850) 885-2174.

What is Andrew Bordelon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Andrew Bordelon was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.