Organization Active NPI

McLean Cares Inc

  • Family Medicine Physician
  • Thomasville, GA
National Provider Identifier
1114300753
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
030163 Issued in GA
Legal business name
MCLEAN CARES INC
Practice address
116 Rosedale Ave
Thomasville, GA 31792-6655
Phone
(229) 233-7659
Fax
(229) 228-4708
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Dr. Ronald Craig McLean, M.D.
Title
Medical Director
Phone
(229) 228-6577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 030163 GA Primary

Addresses

Primary practice location

116 Rosedale Ave
Thomasville, GA 31792-6655

Mailing address

116 Rosedale Ave
Thomasville, GA 31792-6655
Phone (229) 233-7659

Other identifiers 1

IdentifierTypeStateIssuer
000365142OMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
McLean Cares Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1114300753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROSEDALE AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926655",
            "telephone_number": "229-233-7659",
            "fax_number": "229-228-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ROSEDALE AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926655",
            "telephone_number": "229-233-7659",
            "fax_number": "229-228-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN CARES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "229-228-6577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000365142O",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.