Anita Cannon McGaha, SSP, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3577 Issued in NC

Practice address

596 Executive PL Ste 102
Fayetteville, NC 28305-5189

Phone

(910) 818-1028

NPI assigned

Apr 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1104060771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 TULIP DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041920",
            "telephone_number": "910-818-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 EXECUTIVE PL STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055189",
            "telephone_number": "910-818-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5129 Tulip Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041920",
            "country_code": "US",
            "telephone_number": "910-818-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGAHA",
        "first_name": "ANITA",
        "middle_name": "CANNON",
        "name_prefix": "Ms.",
        "credential": "SSP, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "026",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryanna Rose McEwen, DO
• Donald D McFadden, M.D.
• Rachele Louise McFarland, MSW, LCSWA
• Douglas Sinton McFarlane, M.D.
• Tammy Lenell McFerrin
• Caroline McGann, OTR/L
• Zaniyah McGeachty
• Celina Olds McGee
• Tamiya McGee
• Samantha Ann McGhee, PA-C

• Psychologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.