Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376746545 Individual Practitioner Male Practitioner

Dr. Andrew Moultrie , MD

General Practice • Jessup, MD

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Moultrie, MD is a registered healthcare professional specializing in General Practice in Jessup, MD. Practice services are available at 7555 WATERLOO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7555 Waterloo Rd

Jessup, MD 207949783

Telephone 4107993400

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jessup, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Jessup, MD (421 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-29
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MD D0068511

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dabington Taylor

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1114695004
Dr. Ranon Cortell , PhD

Psychologist - Clinical

NPI 1750685038

Doctor of Philosophy (Ph.D.)

Dr. Spencer Ward , MD

Psychiatry & Neurology - Psychiatry

NPI 1891940177

Doctor of Medicine (M.D.)

Oluwakemi Fatokimi , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1932073145

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mesfin Frew , PA

Physician Assistant

NPI 1962760199

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 29, 2024

Registered at 7555 WATERLOO RD, JESSUP, MD 207949783 (Tel: 4107993400)

📍
Updated Business Mailing Address May 29, 2024

Registered at 6556 MEADOWFIELD CT, ELKRIDGE, MD 210756879 (Tel: 4435713567)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2024

General Practice (License #D0068511 in MD)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2047 CENTRAL AVE, AUGUSTA, GA 309044178 (Tel: 7067387557)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6356 BOYETT DR, NORCROSS, GA 300933507

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREW MOULTRIE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #50977 in GA)

🟢
Initial NPI Registration & Enumeration June 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376746545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2007
Last Update: May 29, 2024
Sole Proprietor: Yes

Mailing Address

6556 Meadowfield Ct

Elkridge, MD 210756879

Phone: 4435713567

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.