Individual provider Active NPI

Tanesha Marie McCauley, D.O

  • Family Medicine Physician
  • Austell, GA
National Provider Identifier
1952789745
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
86353 Issued in GA
Practice address
3999 Austell Rd Ste 901
Austell, GA 30106-1160
Phone
(770) 809-3032
NPI assigned
May 12, 2015
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101022070 MI
Family Medicine Physician 207Q00000X 86353 GA Primary

Addresses

Primary practice location

3999 Austell Rd Ste 901
Austell, GA 30106-1160

Mailing address

1824 Defoor Ave NW Apt 4211
Atlanta, GA 30318-3071
Phone (919) 949-6386

Other practice location 1

3031 W Grand Blvd
Suite 450
Detroit, MI 48202-3046
Phone (313) 871-3751

Other practice location 2

4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607000342 GA Practitioner - Family Practice 0547599359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Project Belle LLCGroup PAC ID 8022356401, 8 clinicians

Practice addresses (Care Compare)

11720 Amber Park Dr
Suite 160
Alpharetta, GA 30009-2271
Phone (855) 232-7888

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101022070MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jun 1, 2021 Accepting new patients
Partners in Wellness Family Medicine Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Detroit Wayne County Health Authority PastSince Jul 6, 2020 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3999 Austell Rd
Ste 901
Austell, GA 30106
Phone (770) 809-3032

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1952789745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 DEFOOR AVE NW APT 4211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183071",
            "telephone_number": "919-949-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 AUSTELL RD STE 901",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061160",
            "telephone_number": "770-809-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 W Grand Blvd",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023046",
            "country_code": "US",
            "telephone_number": "313-871-3751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012173",
            "country_code": "US",
            "telephone_number": "313-974-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "TANESHA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101022070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "86353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.