ANDREW MADISON BUCKELEW DO
NPI 1801355607
Pediatrics - Pediatric Emergency Medicine in Atlanta, GA

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
1001 JOHNSON FERRY RD, ATLANTA, GA 30342(678) 344-1960(404) 785-9168 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2025, Sep 17, 2024, Jul 19, 2023 and 1 more (4 updates tracked since 2019).

About Andrew Madison Buckelew Do NPPES

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

ANDREW MADISON BUCKELEW DO (NPI 1801355607) is an individual pediatric emergency medicine provider in Atlanta, Georgia, licensed in Georgia (99101) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2019).

NPPES Registry Identity

NPI1801355607
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameANDREW MADISON BUCKELEWCredential: DO
Location Address1001 JOHNSON FERRY RDAtlanta, GA 30342-1605
Mailing Address1001 Johnson Fy Rd NeAtlanta, GA 30342-1605 · (678) 344-1960 · Fax (404) 907-4257
Fax(404) 785-9168
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateJune 6, 20254 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1801355607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in GA · 99101
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 99101 (GA), OS18983 (FL), 30451 (MS)
1001 JOHNSON FERRY RD, Atlanta, GA 30342

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Madison Buckelew Do 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 ID1850759804
PECOS Enrollment IDI20240813003939
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Andrew Buckelew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 236 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
Primary Care
5225 CARMEL HEIGHTS DR
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 68 clinicians in this Medicare group
Family Medicine
965 AVENT DR, SUITE 100A
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
Neurological Surgery
3003 SHORTCUT RD
Pascagoula, MS 39567
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Singing River Health System
  • 450 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Physician Assistant
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Emergency Medicine (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Emergency Medicine
1001 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FERRY RD, SCOTTISH RITE DEPT OF ANES
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
1001 JOHNSON FERRY RD, 1532 TULANE AVENUE
ATLANTA, GA 30342

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 Buckelew's NPI number?

The NPI number for Andrew Buckelew is 1801355607. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Andrew Buckelew located?

Andrew Buckelew practices at 1001 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (678) 344-1960.

What is Andrew Buckelew's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Andrew Buckelew enrolled in Medicare?

Yes. Andrew Buckelew 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.

Which organizations bill Medicare for Andrew Buckelew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Buckelew reassigns Medicare benefits to 5 organizations: Emergency Group Of Columbus, LLC (Columbus, GA), Emergency Coverage, LLC (Newport, TN), Sacred Heart Health System, Inc. (Pensacola, FL), State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS) and Singing River Hospital System (Pascagoula, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Buckelew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Buckelew accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Andrew Buckelew 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.

When was this NPI record last updated?

The NPPES record for Andrew Buckelew was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.