Individual provider Active NPI

Annie Brown McCartney, CRNP

  • Women's Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1720259765
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN9441239 Issued in FL
Practice address
2 Shircliff Way Ste 600
Jacksonville, FL 32204-4762
Phone
(904) 821-7556
Fax
(855) 707-1416
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1-104068 AL
Women's Health Nurse Practitioner 363LW0102X APRN9441239 FL Primary

Addresses

Primary practice location

2 Shircliff Way Ste 600
Jacksonville, FL 32204-4762

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

13241 Bartram Park Blvd Unit 1509
Jacksonville, FL 32258-5231
Phone (904) 821-7556

Other identifiers 1

IdentifierTypeStateIssuer
10104068OtherALRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170128000267 FL Practitioner - Nurse Practitioner 4385713239 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9441239FLMDWomen's Health Nurse Practitioner
1-104068ALMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC CurrentSince Dec 8, 2021 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Dec 8, 2021 Accepting new patients

Locations

2431 W Main St
Ste 1102
Dothan, AL 36301
Phone (334) 699-5780

13241 Bartram Park Blvd
Unit 1509
Jacksonville, FL 32258
Phone (904) 680-0055

1232 King St
Jacksonville, FL 32204
Phone (904) 384-3699

2 Shircliff Way
Ste 600
Jacksonville, FL 32204
Phone (904) 387-2200

14534 Old Saint Augustine Rd
Ste 3430
Jacksonville, FL 32258
Phone (904) 268-5300

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

5002 W Lemon St
Tampa, FL 33609

Interoperability endpoints

  • Direct secure messaging: annie.mccartney.1@9582.direct.athenahealth.com

Organizations & group practices 3

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1720259765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 600",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044762",
            "telephone_number": "904-821-7556",
            "fax_number": "855-707-1416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13241 Bartram Park Blvd Unit 1509",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585231",
            "country_code": "US",
            "telephone_number": "904-821-7556",
            "fax_number": "904-524-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "ANNIE",
        "middle_name": "BROWN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1-104068",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9441239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "10104068",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.