MEDICARE: DR. ANDY M NORMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD25257	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	63090	OTHER	NC	BLUE CROSS/BLUE SHIELD
2	62-0476822	OTHER	TN	TAX ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689634032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDY M NORMAN MD

Provider Business Mailing Address
First Line	:	4163 VILLAGE AT VANDERBILT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-8678
Country	:	US
Telephone Number	:	615-322-3573
Fax Number	:	615-322-5048

Provider Business Practice Location Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-5100
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	04/12/2026

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