Active NPI
Tanesha Marie McCauley, D.O
- Family Medicine Physician
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 86353
- Practice address
- 3999 Austell Rd Ste 901
Austell, GA 30106-1160 - Phone
- (770) 809-3032
- NPI assigned
- May 12, 2015
- Last updated
- May 23, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5101022070 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Partners in Wellness | Family Medicine | Past | Accepting new patients |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| Detroit Wayne County Health Authority | Past | 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
- 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.
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1275024002
-
dba Piedmont Urgent Care
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1962733089
-
- Family Medicine Physician
- Detroit, MI
- NPI 1518461524
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.