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

ANDREW JEFFERY CONNER DO
NPI 1669162046
Family Medicine in Shaw Afb, SC

Active since May 10, 2023PECOS Enrolled
420 POLIFKA DR, SHAW AFB, SC 29152(803) 895-2273 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, Aug 24, 2023, May 10, 2023 (3 updates tracked since 2023).

About Andrew Jeffery Conner Do NPPES

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

ANDREW JEFFERY CONNER DO (NPI 1669162046) is an individual family medicine provider in Shaw Afb, South Carolina, licensed in Ohio (34.017465) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669162046
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW JEFFERY CONNERCredential: DO
Location Address420 POLIFKA DRShaw Afb, SC 29152-5100
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302 · (850) 883-9501
Phone(803) 895-2273
Sole ProprietorNo
Enumeration DateMay 10, 2023
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1669162046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.017465
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
420 POLIFKA DR, Shaw Afb, SC 29152
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Jeffery Conner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29152 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

MRS. MALLORY SMITH NP
Nurse Practitioner (Primary Care)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-2273
DESMOND JACOB MARROQUIN
Military Health Care Provider (Independent Duty Medical Technicians)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 885-0249
ANA N CHAVIS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6466
VALERIE LUISA VILLANUEVA PA-C
Physician Assistant (Medical)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (038) 956-5428
REBECCA WILDER DPT
Physical Therapist
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-8658
MS. THERESA JEAN ULICHNEY CNP
Nurse Practitioner (Women's Health)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6812
MS. QUOTAICHI NACHION RAMBUS MSW; LISW
Social Worker (Clinical)
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6356
PATTI E BUSSER
Social Worker
420 POLIFKA DR
SHAW AFB, SC 29152
Sumter County (803) 895-6095

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 Conner's NPI number?

The NPI number for Andrew Conner is 1669162046. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Andrew Conner located?

Andrew Conner practices at 420 Polifka Dr, Shaw Afb, SC 29152. The listed phone number is (803) 895-2273.

What is Andrew Conner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Conner enrolled in Medicare?

Yes. Andrew Conner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Conner was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.