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1710044557

NPI Code Detail

MEDICARE: ANDREW VINCENT CICHELLI MD

MEDICARE: ANDREW VINCENT CICHELLI 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	207RP1001X	Pulmonary Disease Physician	044433	GA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	044433	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	044433	OTHER	GA	STATE LIC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710044557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW VINCENT CICHELLI MD

Provider Business Mailing Address
First Line	:	PO BOX 689022
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-9022
Country	:	US
Telephone Number	:	615-465-7211
Fax Number	:	615-628-6877

Provider Business Practice Location Address
First Line	:	1601 FAIR RD STE 600
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-0800
Country	:	US
Telephone Number	:	912-681-4911
Fax Number	:	912-681-6911

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	02/09/2026

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Directions to “ ANDREW VINCENT CICHELLI MD” Practice Location

Language	Start Address	Practice Location

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