ANDREW P BOZEMAN MD
NPI 1902083546
Surgery - Pediatric Surgery in Dublin, GA

Active since January 25, 2008PECOS Enrolled
100 MEDICAL DR STE 100, DUBLIN, GA 31021(478) 272-2707(478) 272-2791 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 26, 2017 (2 updates tracked since 2017).

About Andrew P Bozeman Md NPPES

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

ANDREW P BOZEMAN MD (NPI 1902083546) is an individual pediatric surgery provider in Dublin, Georgia, licensed in Georgia (065526) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902083546
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameANDREW P BOZEMANCredential: MD
Location Address100 MEDICAL DR STE 100Dublin, GA 31021-2561
Mailing Address100 Medical Dr Ste 100Dublin, GA 31021-2561 · (478) 272-2707 · Fax (478) 272-2791
Fax(478) 272-2791
Sole ProprietorNo
Enumeration DateJanuary 25, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1902083546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in GA · 065526
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
100 MEDICAL DR STE 100, Dublin, GA 31021

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew P Bozeman 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

4

Medicare enrollment records show Andrew Bozeman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
100 MEDICAL DR, SUITE 100 & 200
Dublin, GA 31021
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
Pediatrics
655 DEER PARK AVE
Babylon, NY 11702
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Samaritan Pediatric Services PC
  • 55 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.

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 Bozeman's NPI number?

The NPI number for Andrew Bozeman is 1902083546. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Andrew Bozeman located?

Andrew Bozeman practices at 100 Medical Dr Ste 100, Dublin, GA 31021. The listed phone number is (478) 272-2707.

What is Andrew Bozeman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Andrew Bozeman enrolled in Medicare?

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

Which organizations bill Medicare for Andrew Bozeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Bozeman reassigns Medicare benefits to 4 organizations: Dublin Multispecialty LLC (Dublin, GA), Arkansas Childrens Hospital (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Samaritan Pediatric Services, P.C. (Babylon, NY). 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 Bozeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Bozeman accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Andrew Bozeman 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 Bozeman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.