Organization Active NPI

Asa McCann, LLC

Doing business as Asa Health & Wellness

  • Primary Care Clinic/Center
  • Ashburn, GA
National Provider Identifier
1194305680
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ASA MCCANN, LLC
Doing business as
Asa Health & Wellness
Practice address
235 E Washington Ave
Ashburn, GA 31714-5224
Phone
(229) 484-2300
NPI assigned
Apr 9, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Amanda Chavers, RN
Title
Director of Nursing
Phone
(229) 484-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

235 E Washington Ave
Ashburn, GA 31714-5224

Mailing address

235 E Washington Ave
Ashburn, GA 31714-5224

Other names 1

  • Asa Health & Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1194305680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E WASHINGTON AVE",
            "city": "ASHBURN",
            "state": "GA",
            "postal_code": "317145224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E WASHINGTON AVE",
            "city": "ASHBURN",
            "state": "GA",
            "postal_code": "317145224",
            "telephone_number": "229-484-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASA MCCANN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CHAVERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "229-484-2300",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asa Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Asa Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.