Active NPI
Kristina Jheanelle McCaw, MD
- Internal Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 079271
- Practice address
- 720 Westview Drive, SW
Morehouse School of Medicine, Department of Internal Me
Atlanta, GA 30310 - Phone
- (404) 756-1325
- Fax
- (404) 756-1313
- NPI assigned
- May 13, 2015
- Reactivated
- Dec 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 079271 | GA | Primary |
Addresses
Primary practice location
720 Westview Drive, SW
Morehouse School of Medicine, Department of Internal Me
Atlanta, GA 30310
Mailing address
720 Westview Drive, SW
Morehouse School of Medicine, Department of Internal Me
Atlanta, GA 30310
Phone (404) 756-1325
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079271 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anemonefish Inpatient Services LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| North Atlanta Professional Services LLC | Current | Accepting new patients |
Locations
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Covington, GA
- NPI 1033514716
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1477931236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WESTVIEW DRIVE, SW",
"address_2": "MOREHOUSE SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL ME",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30310",
"telephone_number": "404-756-1325",
"fax_number": "404-756-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WESTVIEW DRIVE, SW",
"address_2": "MOREHOUSE SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL ME",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30310",
"telephone_number": "404-756-1325",
"fax_number": "404-756-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAW",
"first_name": "KRISTINA",
"middle_name": "JHEANELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2019-09-03",
"deactivation_date": "2015-12-21",
"reactivation_date": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "079271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 3, 2019; 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.