Active NPI
Isaac B Annan, MD
- Neurology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 71744
- Practice address
- 350 Hospital Dr
Macon, GA 31217-3838 - Phone
- (470) 788-1010
- NPI assigned
- Feb 10, 2006
- Last updated
- Dec 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036111711 | IL | |
| Neurology Physician | 2084N0400X | 68470 | MN | |
| Neurology Physician | 2084N0400X | 66643 | WI | |
| Neurology Physician | 2084N0400X | MD439984 | PA | |
| Neurology Physician | 2084N0400X | 71744 | GA | Primary |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 71744 | GA |
Addresses
Primary practice location
350 Hospital Dr
Macon, GA 31217-3838
Mailing address
640 E Oregon Rd
Lititz, PA 17543-9202
Phone (717) 569-8773
Other practice location 1
640 E Oregon Rd
Lititz, PA 17543-9202
Phone (717) 569-8773 ext. 119
Other practice location 2
1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300
Other practice location 3
3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336112234 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iannan361803@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WI, AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2503 S Ave a
Suite 2
Yuma, AZ 85364-7174
Phone (928) 783-0092
350 Hospital Dr
Macon, GA 31217-3838
Phone (470) 788-1010
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 802-3018
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66643 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Family Medicine | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| MCHS Hospitals, Inc. | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Family Medicine | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Bio Family Clinic Inc | Family Medicine | Current | Accepting new patients |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Inpatient Consultants of Missouri Inc | Past | Accepting new patients | |
| Yates Emergency Physicians | Past | Accepting new patients | |
| Choctaw Nation of Oklahoma | Past | Accepting new patients |
Locations (25 of 28)
11518 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500
11611 S Foothills Blvd
Ste G
Yuma, AZ 85367
Phone (520) 476-3503
2281 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 276-4293
2281 W 24th St
Ste 10
Yuma, AZ 85364
Phone (520) 344-1656
2503 S Avenue A
Ste 2
Yuma, AZ 85364
Phone (928) 344-3350
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
2709 Meredyth Dr
Ste 340
Albany, GA 31707
Phone (229) 882-1130
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
Interoperability endpoints
- iannan361803@direct-ehr-ssmhc.com
- iannan498628@direct.gundersenhealth.org
- iannan90327@direct-guthrie.org
- isaac.annan.1@8478.direct.athenahealth.com
Organizations & group practices 20
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.
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- Family Medicine Physician
- Yuma, AZ
- NPI 1821387051
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Family Medicine, GA
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
dba Emplify Health Hamilton Clinic
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
-
dba Choctaw Nation Health Care Clinic - Durant
- Primary Care Clinic/Center
- Durant, OK
- NPI 1396173449
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Macon Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
dba Piedmont Macon North Hospital
- General Acute Care Hospital
- Macon, GA
- NPI 1811940976
-
dba Adventhealth Redmond
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1336112234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E OREGON RD",
"city": "LITITZ",
"state": "PA",
"postal_code": "175439202",
"telephone_number": "717-569-8773",
"fax_number": "717-735-7992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "470-788-1010"
}
],
"practiceLocations": [
{
"address_1": "640 E Oregon Rd",
"address_purpose": "LOCATION",
"city": "Lititz",
"state": "PA",
"postal_code": "175439202",
"country_code": "US",
"telephone_number": "717-569-8773 x119",
"fax_number": "717-735-7992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1836 South Ave",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546015429",
"country_code": "US",
"telephone_number": "608-782-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 E Racine St",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535462343",
"country_code": "US",
"telephone_number": "608-371-8000",
"fax_number": "608-371-8943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANNAN",
"first_name": "ISAAC",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036111711",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "68470",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "66643",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD439984",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "71744",
"primary": true
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "GA",
"license": "71744",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336112234",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iannan361803@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "iannan361803@direct-ehr-ssmhc.com",
"address_1": "3200 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462343",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3200 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462343",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Macon, GA
- Angelic Hearts Home Care LLC
- Angels at Divine Retreat LLC (Angels Divine Personal Care Home)
- Angels Corner LL (Angels Corner l)
- Angels of Mercy Private Homecare Services, Inc.
- Nathan Wade Anisko
- Aqela Ansari
- Kimberly Anthony, CCC-SLP
- Antonio Padilla (D & S Medical Lab)
- Chinyere Daisy Anyakudo, M,D
- Rose Anzele, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.