Active NPI
Thomas J McElligott MD PC
- Orthopaedic Surgery Physician
- Conyers, GA
National Provider Identifier
1003002767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 037617
- Legal business name
- THOMAS J MCELLIGOTT MD PC
- Doing business as
- East Metro Orthopaedics
- Practice address
- 2415 Wall St SE
Suite B
Conyers, GA 30013-6384 - Phone
- (770) 760-0234
- Fax
- (770) 760-0136
- NPI assigned
- Sep 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas J McElligott, MD
- Title
- Owner/Physician
- Phone
- (770) 760-0234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 037617 | GA | Primary |
Addresses
Primary practice location
2415 Wall St SE
Suite B
Conyers, GA 30013-6384
Mailing address
2415 Wall St SE
Suite B
Conyers, GA 30013-6384
Phone (770) 760-0234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00570963B | Medicaid | GA |
Other names 1
- East Metro Orthopaedics
National Provider Directory
National Provider DirectoryLocations
2415 Wall St SE
Ste B
Conyers, GA 30013
Phone (770) 760-0234
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Marietta, GA
- NPI 1558337055
-
- Orthopaedic Surgery Physician
- Conyers, GA
- NPI 1184640997
-
- Physician Assistant
- East Orange, NJ
- NPI 1477669182
-
- Specialist
- Pensacola, FL
- NPI 1184717373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1003002767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 WALL ST SE",
"address_2": "SUITE B",
"city": "CONYERS",
"state": "GA",
"postal_code": "300136384",
"telephone_number": "770-760-0234",
"fax_number": "770-760-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 WALL ST SE",
"address_2": "SUITE B",
"city": "CONYERS",
"state": "GA",
"postal_code": "300136384",
"telephone_number": "770-760-0234",
"fax_number": "770-760-0136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS J MCELLIGOTT MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-17",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "MCELLIGOTT",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "770-760-0234",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "037617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00570963B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "East Metro Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.