NPIMap

Individual provider Active NPI

James Daniel McAvoy, MD

  • Family Medicine Physician
  • Elberton, GA
National Provider Identifier
1215917901
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18696 Issued in GA
Practice address
109 College Ave
Elberton, GA 30635-1705
Phone
(706) 283-3315
NPI assigned
Jan 19, 2006
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18696 GA Primary

Addresses

Primary practice location

109 College Ave
Elberton, GA 30635-1705

Mailing address

1339 Fairway Dr
Elberton, GA 30635-2668
Phone (706) 283-9400

Other identifiers 1

IdentifierTypeStateIssuer
00223627A4GPMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000234 GA Practitioner - Family Practice 0547213324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Center of Elberton, LLPGroup PAC ID 2062493083, 7 clinicians

Practice addresses (Care Compare)

109 College Ave
Elberton, GA 30635-1705
Phone (706) 283-3315

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Hart Operation LLC Past Accepting new patients
Heardmont Health Properties LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: james.mcavoy@gadirect.net
  • Direct secure messaging: jdanielmcavoy@tmce.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heardmont Health and RehabilitationElberton, GA, CCN 115685 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 12, 2025
Feb 12, 2025
The Medical Center of Elberton LLPElberton, GA, CCN 113958 Rural health clinic 5% Or Greater Direct Ownership Interest (16.66%)
General Partnership Interest (16.66%)		 Aug 1, 1995
Feb 22, 2005

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1215917901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 FAIRWAY DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306352668",
            "telephone_number": "706-283-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 COLLEGE AVE",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351705",
            "telephone_number": "706-283-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAVOY",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "18696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00223627A4GP",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberton, GA

Sources for this page

Verify at the official NPI Registry.