Anna Franklin Mooney
Individual provider Active NPI Pediatrics Physician · Canton, NC
NPI 1003158452 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1003158452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 2016-00348 (NC)
- Practice address
- 55 Buckeye Cove Rd Ste 200a
Canton, NC 28716-4511 - Phone
- (284) 528-8788
- Fax
- (828) 452-8879
- NPI assigned
- Mar 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160718002390 | NC | Practitioner - Pediatric Medicine | 0345533063 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-00348 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Western Carolina Physician Practices LLC | Pediatrics | Current |
Accepting new patients |
| DLP Western Carolina Physician Practices LLC | Current |
Accepting new patients |
Locations
125 Park St
Canton, NC 28716
Phone (828) 452-8878
55 Buckeye Cove Rd
#200A
Canton, NC 28716
Phone (828) 235-3023
24 Falcon Crest Ln
Clyde, NC 28721
Phone (828) 452-8878
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971
98 Doctors Dr
Ste 300
Sylva, NC 28779
Phone (828) 586-9641
Interoperability endpoints
- anna.mooney.1@9865.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 2016-00348 | NC | Yes |
Addresses
Primary practice location
55 Buckeye Cove Rd Ste 200a
Canton, NC 28716-4511
Mailing address
24 Falcon Crest LN
Haywood Professional Park
Clyde, NC 28721-6620
Phone (828) 452-8878
Other practice location 1
262 LeRoy George Dr
Clyde, NC 28721-7430
Phone (828) 456-7311
Other providers in Canton, NC
- Jeanne Ann McCall
- Meridian Behavioral Health Services
- Darren Mesibov
- Ashley Hale Miller
- Beverly Miller
- Brad Clinton Morgan
- Spencer Lewis Morrison
- Rita Jenkins Moss
- Mountain Eye Associates PLLC
- New Mountain Eye Associates PLLC
All providers in Canton, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.