Active NPI
William Aubrey McEachern, M.D.
- Pediatric Cardiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 91661
- Practice address
- 1405 Clifton Rd NE
Atlanta, GA 30322-4534 - Phone
- (404) 256-2593
- Fax
- (770) 488-9408
- NPI assigned
- Apr 27, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 57798 | TN | |
| Pediatric Cardiology Physician | 2080P0202X | 57798 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Cardiology Physician | 2080P0202X | 91661 | GA | Primary |
Addresses
Primary practice location
1405 Clifton Rd NE
Atlanta, GA 30322-4534
Mailing address
2835 Brandywine Rd Ste 400
Atlanta, GA 30341-5540
Phone (042) 562-5934
Other practice location 1
4581 S Cobb Dr SE Ste 100
Smyrna, GA 30080-6906
Phone (470) 956-9171
Other practice location 2
6043 Presley Mill Rd
Suite E
Douglasville, GA 30124
Phone (470) 956-9166
Other practice location 3
1180 Ernest W Barrett Pkwy NW Ste 102A
Kennesaw, GA 30144-4534
Phone (470) 956-9171
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wmceachern492863@directwellstar.org | Health Information Exchange (HIE) | |
| Direct Messaging Address | wmceachern28693@direct.vumc.org | Direct | |
| Direct Messaging Address | CREDENTIALING@KIDSHEART.COM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Tulane University School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
134 Riverstone Ter
Suite 202
Canton, GA 30114-1705
Phone (404) 256-2593
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Healthcare of Atlanta Cardiology Inc | Pediatric Cardiology | Current | Accepting new patients |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
60 Executive Park South NE
Atlanta, GA 30329
2835 Brandywine Rd
Ste 400
Atlanta, GA 30341
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
134 Riverstone Ter
Ste 202
Canton, GA 30114
Phone (770) 213-8942
60 Oak Hill Blvd
Ste 102
Newnan, GA 30265
Phone (678) 423-1775
Interoperability endpoints
- credentialing@kidsheart.com
- wmceachern28693@direct.vumc.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Cardiology Physician
- Atlanta, GA
- NPI 1235148727
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1366829566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 BRANDYWINE RD STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415540",
"telephone_number": "042-562-5934",
"fax_number": "770-488-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303224534",
"telephone_number": "404-256-2593",
"fax_number": "770-488-9408"
}
],
"practiceLocations": [
{
"address_1": "4581 S Cobb Dr SE Ste 100",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300806906",
"country_code": "US",
"telephone_number": "470-956-9171",
"fax_number": "770-999-2520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6043 PRESLEY MILL RD",
"address_2": "SUITE E",
"address_purpose": "LOCATION",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30124",
"country_code": "US",
"telephone_number": "470-956-9166",
"fax_number": "770-999-2520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1180 Ernest W Barrett Pkwy NW Ste 102A",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301444534",
"country_code": "US",
"telephone_number": "470-956-9171",
"fax_number": "770-794-6652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCEACHERN",
"first_name": "WILLIAM",
"middle_name": "AUBREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "57798",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TN",
"license": "57798",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "GA",
"license": "91661",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmceachern492863@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1180 Ernest W Barrett Pkwy NW Ste 102A",
"city": "Kennesaw",
"state": "GA",
"country_code": "US",
"postal_code": "301444534",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmceachern28693@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372329760",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CREDENTIALING@KIDSHEART.COM",
"affiliation": "N",
"endpointDescription": "CREDENTIALING@KIDSHEART.COM",
"address_1": "1405 Clifton Rd NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303224534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.