Anthony Alphonso McPherson, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

83519 Issued in GA

Practice address

2550 Windy Hill Rd SE Ste 208209
Marietta, GA 30067-8665

Phone

(855) 593-3479

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

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 2

Specialty

Pain Management

Education

Medical University of South Carolina College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Pain Clinics of America LLC

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
  • NPI 1902494859

  GA

  Medicare reassignment NPD Authorized official
• Brunswick Pain Treatment Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Brunswick, GA
  • NPI 1154422541

  GA

  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Farifax, SC
  • NPI 1053475566

  SC

  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Bamberg, SC
  • NPI 1306378310

  SC

  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1578659942

  SC

  Medicare reassignment NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1780112912

  SC

  Medicare reassignment NPD
• Spine Center of Southeast Georgia LLC

  • Interventional Pain Medicine Physician
  • Kingsland, GA
  • NPI 1477106771

  Interventional Pain Medicine

  NPD
• Sarasota Emergency Associates PA

  • Emergency Medicine Physician
  • Sarasota, FL
  • NPI 1831175306
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1477537660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WOODMONT LN NW # 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "910-227-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 208209",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "855-593-3479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Windy Hill Rd SE Ste 215",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300678654",
            "country_code": "US",
            "telephone_number": "770-702-7500",
            "fax_number": "770-693-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "ANTHONY",
        "middle_name": "ALPHONSO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "82138",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME128542",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "83519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCF336",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G18208C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003231887D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019701200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821383",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IRO56Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany McNeely, O.D.
• Jamyia Thelma McNeil
• Elizabeth K McNeill, PA
• Donna Marie McNulty, RN
• Angela McPherson, MA, LAPC
• Coreen McPherson
• Thomas M. McQuail, M.D.
• Leslie McRoberts, OTR/L
• Dominique Sheontell McSwain
• Krystin Howell McWilliams, NP

• All providers in Marietta, GA
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.