Active NPI
William Theron McLarty Jr., M.D.
- Psychiatry Physician
- Smyrna, GA
National Provider Identifier
1114080520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 013291
- Practice address
- 4015 South Cobb Drive
Suite 110
Smyrna, GA 30080 - Phone
- (770) 434-5100
- Fax
- (770) 434-3923
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 013291 | GA | Primary |
Addresses
Primary practice location
4015 South Cobb Drive
Suite 110
Smyrna, GA 30080
Mailing address
4015 South Cobb Drive
Suite 110
Smyrna, GA 30080
Phone (770) 434-5100
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
- Psychiatry
- Education
- University of Mississippi School of Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4015 S Cobb Dr SE
Suite 110
Smyrna, GA 30080-6316
Phone (770) 434-5100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013291 | GA | MD | Psychiatry Physician |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Smyrna, GA
- NPI 1821576695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1114080520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 SOUTH COBB DRIVE",
"address_2": "SUITE 110",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30080",
"telephone_number": "770-434-5100",
"fax_number": "770-434-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 SOUTH COBB DRIVE",
"address_2": "SUITE 110",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30080",
"telephone_number": "770-434-5100",
"fax_number": "770-434-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLARTY",
"first_name": "WILLIAM",
"middle_name": "THERON",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "013291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.