Active NPI
Heyward Cruce McDaniel, PA
- Physician Assistant
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04538
- Practice address
- 100 Medical Park Dr
Suite 310
Concord, NC 28025-2948 - Phone
- (704) 403-2660
- NPI assigned
- Sep 16, 2013
- Last updated
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04538 | NC | Primary |
Addresses
Primary practice location
100 Medical Park Dr
Suite 310
Concord, NC 28025-2948
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 381-1450
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hmcdaniel416406@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4529 | SC | MD | Physical Therapist |
| 0010-04538 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Virtualhealthconnect LLC | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Physician Assistant | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
100 Medical Park Dr
Ste 310
Concord, NC 28025
Phone (704) 403-2860
1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911
Interoperability endpoints
- hmcdaniel416406@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 9
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 Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
dba Atrium Health Women's Care Union OB/GYN
- Obstetrics & Gynecology Physician
- Monroe, NC
- NPI 1174879670
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Kannapolis Internal Medicine
- Internal Medicine Physician
- Kannapolis, NC
- NPI 1568899136
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
dba Hazard ARH Regional Medical Center
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
Physician Assistant
-
- Neurology Physician
- Franklin, TN
- NPI 1437604998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1760818223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PARK DR",
"address_2": "SUITE 310",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252948",
"telephone_number": "704-403-2660"
}
],
"practiceLocations": [
{
"address_1": "1001 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-381-1450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDANIEL",
"first_name": "HEYWARD",
"middle_name": "CRUCE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2024-07-15",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04538",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hmcdaniel416406@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "100 Medical Park Dr",
"address_2": "Suite 310",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280252948",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.