Active NPI
Anna B McCall MD LLC
- Primary Care Clinic/Center
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ANNA B MCCALL MD LLC
- Practice address
- 4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135 - Phone
- (017) 588-9293
- NPI assigned
- Jun 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anna B. McCall, MD
- Title
- Physician
- Phone
- (301) 850-2069
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135
Mailing address
4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135
Phone (301) 850-2069
Other practice location 1
1438 Defense Hwy Ste 201
Gambrills, MD 21054-2021
Phone (410) 721-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355028100 | Medicaid | MD |
Other names 1
- HEAL THYSELF LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2277112 | Heal Thyself LLC | Certificate of waiver | Feb 21, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1306576434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD STE A308",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163135",
"telephone_number": "301-850-2069",
"fax_number": "301-893-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD STE A308",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163135",
"telephone_number": "017-588-9293"
}
],
"practiceLocations": [
{
"address_1": "1438 Defense Hwy Ste 201",
"address_purpose": "LOCATION",
"city": "Gambrills",
"state": "MD",
"postal_code": "210542021",
"country_code": "US",
"telephone_number": "410-721-3200",
"fax_number": "301-238-7962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANNA B MCCALL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-13",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A",
"authorized_official_last_name": "MCCALL",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "301-850-2069",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "355028100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEAL THYSELF LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.