Active NPI
Luciann M. McCartney, MS, PT
- Physical Therapist
- Augusta, GA
National Provider Identifier
1750447561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 003850
- 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, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52440160 | Other | GA | BCBS OF GEORGIA |
| 10036237 | Other | GA | AMERIGROUP OF GEORGIA |
| 3339653 | Other | GA | WELLCARE OF GEORGIA |
| 000606273F | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 003850 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro-Developmental Treatment Programs, Inc. | Physical Therapist | Past | 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.
-
dba NDT Programs
- Occupational Therapist
- Augusta, GA
- NPI 1417924036
Physical Therapist
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.