Individual provider Active NPI

Luciann M. McCartney, MS, PT

  • Physical Therapist
  • Augusta, GA
National Provider Identifier
1750447561
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 003850 Issued in GA
Practice address
814 Dogwood LN
Augusta, GA 30909-2704
Phone
(706) 306-3800
Fax
(706) 738-2717
NPI assigned
Dec 28, 2006
Last updated
Oct 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 003850 GA Primary

Addresses

Primary practice location

814 Dogwood LN
Augusta, GA 30909-2704

Mailing address

1 Retreat Rd
Augusta, GA 30909-1837
Phone (706) 306-3800

Other identifiers 4

IdentifierTypeStateIssuer
52440160OtherGABCBS OF GEORGIA
10036237OtherGAAMERIGROUP OF GEORGIA
3339653OtherGAWELLCARE OF GEORGIA
000606273FMedicaidGA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT 003850GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Developmental Treatment Programs, Inc. Physical Therapist PastSince Oct 1, 2011 Accepting new patients

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1750447561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RETREAT RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091837",
            "telephone_number": "706-306-3800",
            "fax_number": "706-738-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 DOGWOOD LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092704",
            "telephone_number": "706-306-3800",
            "fax_number": "706-738-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "LUCIANN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT 003850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "52440160",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP OF GEORGIA",
            "identifier": "10036237",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF GEORGIA",
            "identifier": "3339653",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000606273F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.