Charles Gettys McClure, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

017630 Issued in GA

Practice address

1348 Walton Way
Suite 4500
Augusta, GA 30901-5104

Phone

(706) 722-8817

Fax

(706) 722-3956

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Americus & Sumter County Hospital Authority

  • Rehabilitation Hospital Unit
  • Americus, GA
  • NPI 1164517173
  NPD (past)
• Sumter Regional Medical Group, PC

  • Specialist
  • Americus, GA
  • NPI 1073685996
  NPD (past)
• University Surgical Associates, P.C.

  • Surgery Physician
  • Augusta, GA
  • NPI 1669454245
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1063576288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY 408",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012654",
            "telephone_number": "706-722-9075",
            "fax_number": "706-722-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY",
            "address_2": "SUITE 4500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015104",
            "telephone_number": "706-722-8817",
            "fax_number": "706-722-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "CHARLES",
        "middle_name": "GETTYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "017630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000110261F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906737",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany McClain, RN
• Jessica Mae McClard, MD
• Barbara A McClary, SLP
• Griffin McCloy, MD
• De'Styni McClure-Reed
• Daniel McCollum, M.D.
• Janis McCollum
• Sarah Joy McCollum
• James William McCord, M.D.
• William Fray McCormick Jr., MD

• Neurology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.