Individual provider

James Andersen, M.D.

Addiction Medicine (Preventive Medicine) Physician Basic Emergency Medical Technician

James Andersen, M.D. is an Addiction Medicine (Preventive Medicine) Physician in Eagle Lake, FL, registered under NPI 1104047695. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 805 CRYSTAL BEACH ROAD, Eagle Lake, FL 33839. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

805 CRYSTAL BEACH ROAD, Eagle Lake, FL 33839 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME0024931 FL Addiction Medicine (Preventive Medicine)… primary
ME0024931 FL Basic Emergency Medical Technician

This provider holds licence ME0024931 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Addiction Medicine covers

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. NUCC Health Care Provider Taxonomy, code 2083A0300X
Allopathic & Osteopathic Physicians Preventive Medicine Addiction Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2083A0300X Addiction Medicine (Preventive Medicine) Physician Addiction Medicine ME0024931 FL primary
146N00000X Basic Emergency Medical Technician ME0024931 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104047695 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 1, 2007
Last updatedNov 14, 2024
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 805 CRYSTAL BEACH ROAD
Eagle Lake, FL 33839
(863) 287-3485
Fax (863) 683-9180
This record was updated on Nov 14, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104047695 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 4 7 6 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 4 5 6 9

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104047695?
NPI 1104047695 is the National Provider Identifier assigned to James Andersen, M.D. in Eagle Lake, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction Medicine cover?
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
How do I contact James Andersen, M.D.?
The phone number on file with NPPES is (863) 287-3485, last updated Nov 14, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104047695 a valid number?
Yes. 1104047695 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.