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DR. ANDREW PHILLIP STACK MD
NPI 1902063407
Pediatrics - Pediatric Critical Care Medicine in Columbus, GA

Active since May 21, 2008PECOS Enrolled
710 CENTER ST, COLUMBUS, GA 31901(706) 571-1311 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2022, Feb 14, 2019, Aug 6, 2018 (3 updates tracked since 2018).

About Dr. Andrew Phillip Stack Md NPPES

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

DR. ANDREW PHILLIP STACK MD (NPI 1902063407) is an individual pediatric critical care medicine provider in Columbus, Georgia, licensed in Georgia (71886) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1902063407
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. ANDREW PHILLIP STACKCredential: MD
Location Address710 CENTER STColumbus, GA 31901-1527
Mailing Address4700 Waters AveSavannah, GA 31404-6220 · (912) 350-8180 · Fax (912) 350-5697
Phone(706) 571-1311
Sole ProprietorNo
Enumeration DateMay 21, 2008
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1902063407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in GA · 71886
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 071886 (GA)
710 CENTER ST, Columbus, GA 31901
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Secondary Practice Location 1

Location 14700 Waters AveSavannah, GA 31404-6220 · Phone (912) 350-8180 · Fax (912) 350-5697

Other Identifiers 2

OtherP01335436GA · Railroad Medicare
Medicaid003146322AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Phillip Stack Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew Stack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbus Ambulatory Healthcare Services, Inc.
0.2 mi
Family Medicine
1800 10TH AVE
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 391 clinicians in this Medicare group
NPI 1790733244 (706) 571-1120
Mppg, Inc.
230 mi
Family Medicine
4731 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 104 clinicians in this Medicare group
NPI 1033131172 (912) 350-4905

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.

DR. NISHANT MICHAEL DE QUADROS M.D.
Radiology (Diagnostic Radiology)
710 CENTER ST, THE MEDICAL CENTER
COLUMBUS, GA 31901
Muscogee County (706) 501-1000
ARNOLD NONGMOH FORLEMU MD
Internal Medicine (Gastroenterology)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 324-6365
SAMUEL SOLOMON MARKS
Nurse Anesthetist, Certified Registered
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1000
BIBIDH SUBEDI
Pharmacist
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1495
SUBHENDU DE MD
Pediatrics (Pediatric Critical Care Medicine)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1311
THE MEDICAL CENTER, INC.
Ambulance (Land Transport)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 660-6101
DR. JAMES CUNNINGHAM MD
Surgery (Surgical Critical Care)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1454
MRS. SARAH KATHARINE WINTER THORNBURY N.P.
Nurse Practitioner (Pediatrics)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (334) 444-3340

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 Stack's NPI number?

The NPI number for Andrew Stack is 1902063407. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Andrew Stack located?

Andrew Stack practices at 710 Center St, Columbus, GA 31901. The listed phone number is (706) 571-1311.

What is Andrew Stack's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Andrew Stack enrolled in Medicare?

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

Which organizations bill Medicare for Andrew Stack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Stack reassigns Medicare benefits to 2 organizations: Columbus Ambulatory Healthcare Services, Inc. (Columbus, GA) and Mppg, Inc. (Savannah, GA). 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 Stack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Stack accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Andrew Stack 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 Stack was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.