Active NPI
Anna Marie Heelan
- Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2077
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-1414
- NPI assigned
- Mar 7, 2014
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TL2077 | SC | |
| Physician Assistant | 363A00000X | 2077 | SC | Primary |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
1399 Ashleybrook LN
Suite 100
Winston Salem, NC 27103-2961
Phone (336) 774-2194
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL2077 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Network | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| Scotland Regional Health Network | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| Carolinas Physicians Network, Inc | Past | Accepting new patients | |
| Columbus Regional Health Network | Past | Accepting new patients |
Locations
10650 Park Rd
Ste 480
Charlotte, NC 28210
Phone (704) 355-1813
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
920 Church St N
Ste 255B
Concord, NC 28025
Phone (704) 403-1331
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
Interoperability endpoints
- aheelan386279@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 15
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1518142280
-
- Hospitalist Physician
- Mount Pleasant, SC
- NPI 1609212232
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
-
- Hospitalist Physician
- Laurinburg, NC
- NPI 1972829562
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1750432704
Physician Assistant
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Physician Assistant
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Hospitalist Physician
- Concord, NC
- NPI 1881033009
-
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
- Pediatrics Physician
- Whiteville, NC
- NPI 1851724645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1649696162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258908",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEELAN",
"first_name": "ANNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "TL2077",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.