Provider Demographics
NPI:1619908084
Name:MCCANN, MARGARET ELAINE (NP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELAINE
Last Name:MCCANN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:980 JOHNSON FERRY RD
Mailing Address - Street 2:STE 170
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1626
Mailing Address - Country:US
Mailing Address - Phone:404-300-2140
Mailing Address - Fax:404-300-2240
Practice Address - Street 1:980 JOHNSON FERRY RD
Practice Address - Street 2:STE 170
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1626
Practice Address - Country:US
Practice Address - Phone:404-300-2140
Practice Address - Fax:404-300-2240
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN104586363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA839083397AMedicaid
GAP41977Medicare UPIN
GA839083397AMedicaid
GA511I500761Medicare PIN