MS. ANDREA BYRD DOAK PAC
NPI 1760420202
Physician Assistant - Medical in Louisville, GA

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
1067 PEACHTREE ST, LOUISVILLE, GA 30434(478) 625-8471(478) 625-8477 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Andrea Byrd Doak Pac NPPES

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

MS. ANDREA BYRD DOAK PAC (NPI 1760420202) is an individual medical provider in Louisville, Georgia, licensed in Georgia (002743) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1995).

NPPES Registry Identity

NPI1760420202
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. ANDREA BYRD DOAKCredential: PAC
Location Address1067 PEACHTREE STLouisville, GA 30434
Mailing Address1067 Peachtree StLouisville, GA 30434-1558 · (478) 625-8471 · Fax (478) 625-8477
Fax(478) 625-8477
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1995
Enumeration DateJune 4, 2006
Last NPPES UpdateNovember 16, 2018
NPI 1760420202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 002743
1067 PEACHTREE ST, Louisville, GA 30434

Other Identifiers 3

Medicaid100000139AGA
Medicaid100000140AGA
Medicaid100000139CGA

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

Ms. Andrea Byrd Doak Pac 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 ID4981796943
PECOS Enrollment IDI20070822000582
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.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Occupational Therapist
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Clinic/Center (Rural Health)
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Internal Medicine
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Nurse Practitioner (Family)
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Physical Therapist
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Psychiatric Unit
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Occupational Therapy Assistant
1067 PEACHTREE ST
LOUISVILLE, GA 30434
Nurse Practitioner (Family)
1067 PEACHTREE ST
LOUISVILLE, GA 30434

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 Andrea Doak's NPI number?

The NPI number for Andrea Doak is 1760420202. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Andrea Doak located?

Andrea Doak practices at 1067 Peachtree St, Louisville, GA 30434. The listed phone number is (478) 625-8471.

What is Andrea Doak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Andrea Doak enrolled in Medicare?

Yes. Andrea Doak 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.

Is Andrea Doak affiliated with any hospitals?

According to CMS data, Andrea Doak is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Doak was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.