Active NPI
Nancy Fletcher McCall, APRN-BC-CNSPMH
- Family Nurse Practitioner
- Gainesville, GA
National Provider Identifier
1003124967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN050734
- Practice address
- 4375 Spainhill Road
Gainesville, GA 30504-5321 - Phone
- (770) 654-4599
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN050734 | GA | Primary |
Addresses
Primary practice location
4375 Spainhill Road
Gainesville, GA 30504-5321
Mailing address
4375 Spainhill Road
Gainesville, GA 30504-5321
Phone (770) 654-4599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN050734 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jydes Family Clinic LLC | Family | Current | Accepting new patients |
Locations
4720 Peachtree Industrial Blvd
Ste 4101
Berkeley Lake, GA 30071
Phone (678) 861-6463
4720 Peachtree Industrial Blvd
Ste 102
Berkeley Lake, GA 30071
Phone (678) 207-9967
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1003124967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4375 SPAINHILL ROAD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305045321",
"telephone_number": "770-654-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4375 SPAINHILL ROAD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305045321",
"telephone_number": "770-654-4599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "NANCY",
"middle_name": "FLETCHER",
"name_prefix": "Mrs.",
"credential": "APRN-BC-CNSPMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN050734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.