Individual provider Active NPI

John William McAtee, PA-C

  • Physician Assistant
  • Columbia, MD
National Provider Identifier
1659497246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002985 Issued in MD
Practice address
6656 Dobbin Rd
Columbia, MD 21045-5841
Phone
(410) 381-1330
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002985 MD Primary

Addresses

Primary practice location

6656 Dobbin Rd
Columbia, MD 21045-5841

Mailing address

4986 Dorsey Hall Dr
B-4
Ellicott City, MD 21042-7772
Phone (410) 979-3829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190607000632 TX Practitioner - Physician Assistant 2567795420 Reassigns benefits to 1 organization
I20210311001234 MD Practitioner - Physician Assistant 2567795420 Reassigns benefits to 1 organization
I20210311001460 DC Practitioner - Physician Assistant 2567795420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002985MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince May 13, 2019 Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 28, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 28, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 28, 2021 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 5

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659497246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4986 DORSEY HALL DR",
            "address_2": "B-4",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427772",
            "telephone_number": "410-979-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6656 DOBBIN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455841",
            "telephone_number": "410-381-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCATEE",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.