MEDICARE: DAVID RANDAL MCCAW FNP-C, APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	RN286684	GA
2	363LF0000X	Family Nurse Practitioner	RN286684	GA

General Provider Information

NPI Number	:	1780285478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID RANDAL MCCAW FNP-C, APRN

Provider Business Mailing Address
First Line	:	2620 ELM HILL PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 OLD MILL RD
Second Line	:
City	:	CARTERSVILLE
State	:	GA
Zip	:	30120-4049
Country	:	US
Telephone Number	:	770-370-8810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2020
Last Update Date	:	10/08/2025

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