Individual provider Active NPI

Susan Lynn McCard, FNP

  • Family Nurse Practitioner
  • Cordele, GA
National Provider Identifier
1063934388
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN089320 Issued in GA
Practice address
902 N 7TH St
Cordele, GA 31015-3234
Phone
(229) 276-3000
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN089320 GA
Family Nurse Practitioner 363LF0000X RN089320 GA Primary

Addresses

Primary practice location

902 N 7TH St
Cordele, GA 31015-3234

Mailing address

1377 High Hill Rd
Ashburn, GA 31714-3815
Phone (229) 322-0244

Other practice location 1

216 Hospital Dr
Cordele, GA 31015-3275
Phone (229) 276-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101002717 GA Practitioner - Nurse Practitioner 9032475322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

Hospital & facility affiliations

  • Crisp Regional Hospital Hospital, Cordele, GA, CCN 110104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Regional Hospital, Inc CurrentSince Aug 26, 2017 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Aug 26, 2017 Accepting new patients
N.T. Cardiovascular Center, PC CurrentSince Jul 27, 2020 Accepting new patients
Georgia Cardiology Center, LLC PastSince Jul 27, 2020 Accepting new patients

Locations

216 Hospital Dr
Cordele, GA 31015
Phone (229) 271-9330

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

1117 Morningside Dr
Perry, GA 31069
Phone (478) 287-6049

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDDGAA

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1063934388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 HIGH HILL RD",
            "city": "ASHBURN",
            "state": "GA",
            "postal_code": "317143815",
            "telephone_number": "229-322-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153234",
            "telephone_number": "229-276-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310153275",
            "country_code": "US",
            "telephone_number": "229-276-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARD",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN089320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN089320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.