Michael Joseph McCann II, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13086 Issued in NC

Practice address

5603 Duraleigh Rd Ste 111
Raleigh, NC 27612-2688

Phone

(919) 791-0840

NPI assigned

Mar 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmccann119117@capefearvalley.direct-ci.com
• Direct secure messaging: mccann@familydermatology.emadirect.md

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.

• Raleigh Medical Group, PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1104962315
  Medicare reassignment Care Compare group
• Simpleclinic PLLC

  • Primary Care Nurse Practitioner
  • Eastover, NC
  • NPI 1164887873
  Medicare reassignment
• Flynn Dermatology PA

  • Specialist
  • Raleigh, NC
  • NPI 1588674568
  NPD
• Simpleclinic PLLC

  • Primary Care Nurse Practitioner
  • Clinton, NC
  • NPI 1255998944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1437859923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 RIDGESTON PL",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409164",
            "telephone_number": "919-909-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 DURALEIGH RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122688",
            "telephone_number": "919-791-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2406 Blue Ridge Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076692",
            "country_code": "US",
            "telephone_number": "919-791-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Perry Rd",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275027701",
            "country_code": "US",
            "telephone_number": "919-791-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia McCallum
• Jireh McCallum, LCSWA
• Dawn Jeanette McCann, NP
• Eva Maria McCann, CRNA
• Kathleen Ann McCann, LCSWA
• Sara Swanson McCargo
• Gracie Lynne McCarroll, LCMHC
• Tiara Denise McCarter, LCSWA
• Courtney McCarthy
• Diana Spahlinger McCarthy, MD

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.

Verify at the official NPI Registry.