Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Dale Andrews Jr., PA-C

Individual provider Surgical Physician Assistant · NPI 1629616768

Mr. Dale Andrews Jr., PA-C is a Physician Assistant in Greenwood, South Carolina. Qualified in 2021, 5 years ago. Practices with Self Medical Group, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and South Carolina.

Years since qualifying
5
Licensed in
NY, SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1506 Spring St
Greenwood, SC 29646-4071
Phone: (864) 725-7900
Fax: (864) 725-7910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 Wadsworth Ave Apt 24, New York, NY 10033-4834 — (843) 325-0178

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5977 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 027289 (NY)

Record details

NPI number1629616768
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 19, 2019
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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