Individual provider Active NPI

William Hiroshi McAneny, FNP

  • Family Nurse Practitioner
  • Tucker, GA
National Provider Identifier
1700460821
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02190707 Issued in GA
Practice address
2260 Northlake Pkwy Ste 300
Tucker, GA 30084-4006
Phone
(404) 297-3440
NPI assigned
May 6, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02190707 GA Primary

Addresses

Primary practice location

2260 Northlake Pkwy Ste 300
Tucker, GA 30084-4006

Mailing address

2260 Northlake Pkwy Ste 300
Tucker, GA 30084-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240819002586 NC Practitioner - Nurse Practitioner 0941748180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopscotch Primary Care PLLCGroup PAC ID 7911173380, 47 clinicians

Practice addresses (Care Compare)

104 N Main St
Weaverville, NC 28787-8230
Phone (828) 645-7974

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02190707GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopscotch Primary Care, PLLC CurrentSince Sep 25, 2024 Accepting new patients
Cerium Urgent Care CurrentSince Dec 18, 2022 Accepting new patients
Cerium Family Practice and Urgent Medicine, LLC CurrentSince Jun 6, 2021 Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients
Hopscotch Primary Care Group, PA Past Accepting new patients

Locations

2260 Northlake Pkwy
Ste 300
Tucker, GA 30084
Phone (404) 296-8100

6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898

104 N Main St
Weaverville, NC 28787
Phone (817) 966-0621

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBBDCD
  • Direct secure messaging: william.mcaneny.1@26812.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1700460821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 NORTHLAKE PKWY STE 300",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 NORTHLAKE PKWY STE 300",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844006",
            "telephone_number": "404-297-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANENY",
        "first_name": "WILLIAM",
        "middle_name": "HIROSHI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F02190707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.