Individual provider Active NPI

Ann Elizabeth Hathcock, DO

  • Family Medicine Physician
  • Granbury, TX
National Provider Identifier
1649339870
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H1869 Issued in TX
Practice address
601 Fall Creek Hwy
Granbury, TX 76049-7960
Phone
(817) 326-3900
Fax
(817) 578-8903
NPI assigned
Dec 6, 2006
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H1869 TX Primary

Addresses

Primary practice location

601 Fall Creek Hwy
Granbury, TX 76049-7960

Mailing address

601 Fall Creek Hwy
Granbury, TX 76049-7960
Phone (817) 326-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ann.hathcock.1@1293.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H1869TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buttercup Creek Family Medicine PA Family Medicine PastSince Oct 22, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ahathcoc@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1649339870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FALL CREEK HWY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497960",
            "telephone_number": "817-326-3900",
            "fax_number": "817-578-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FALL CREEK HWY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497960",
            "telephone_number": "817-326-3900",
            "fax_number": "817-578-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H1869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ann.hathcock.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR",
            "address_1": "601 Fall Creek Hwy",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760497960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.