Individual provider Active NPI

William Aubrey McEachern, M.D.

  • Pediatric Cardiology Physician
  • Atlanta, GA
National Provider Identifier
1366829566
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
91661 Issued in GA
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

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812001280 GA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 4183014038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Tulane University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Children'S Healthcare of Atlanta Cardiology IncGroup PAC ID 6901888395, 31 clinicians

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

OrganizationSpecialtyStatusNew patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince Jul 11, 2024 Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince Aug 1, 2022 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

  • Direct secure messaging: credentialing@kidsheart.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.