Individual provider Active NPI

Margaret Elaine McCann, N.P.

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1619908084
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN104586 Issued in GA
Practice address
980 Johnson Ferry Rd
Ste 170
Atlanta, GA 30342-1626
Phone
(404) 300-2140
Fax
(404) 300-2240
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN104586 GA Primary

Addresses

Primary practice location

980 Johnson Ferry Rd
Ste 170
Atlanta, GA 30342-1626

Mailing address

980 Johnson Ferry Rd
Ste 170
Atlanta, GA 30342-1626
Phone (404) 300-2140

Other identifiers 1

IdentifierTypeStateIssuer
839083397AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALPSS@Northside.gwaydirect.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000019 GA Practitioner - Nurse Practitioner 9335158567 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882

980 Johnson Ferry Rd
Suite 170
Atlanta, GA 30342-1607
Phone (404) 257-1716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN104586GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Feb 1, 2017 Accepting new patients
North Atlanta Kidney Specialists PastSince Sep 12, 2012 Accepting new patients

Locations

980 Johnson Ferry Rd
Ste 270
Sandy Springs, GA 30342
Phone (404) 252-0256

980 Johnson Fy Rd NE
Ste 170
Sandy Springs, GA 30342
Phone (404) 256-1125

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

980 Johnson Fy Rd NE
Ste 420
Sandy Springs, GA 30342
Phone (404) 252-0256

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.396886

Organizations & group practices 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1619908084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD",
            "address_2": "STE 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421626",
            "telephone_number": "404-300-2140",
            "fax_number": "404-300-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD",
            "address_2": "STE 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421626",
            "telephone_number": "404-300-2140",
            "fax_number": "404-300-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MARGARET",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN104586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839083397A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALPSS@Northside.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "980 Johnson Ferry Rd",
            "address_2": "Ste 170",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.