Individual provider Active NPI

Jeffery Clayton McNeely, DPM

  • Podiatrist
  • Lubbock, TX
National Provider Identifier
1194742833
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TX1287 Issued in TX
Practice address
2126 50TH St
Lubbock, TX 79412-2619
Phone
(806) 744-1168
Fax
(806) 744-2368
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X TX1287 TX Primary

Addresses

Primary practice location

2126 50TH St
Lubbock, TX 79412-2619

Mailing address

2126 50TH St
Lubbock, TX 79412-2619
Phone (806) 744-1168

Other identifiers 2

IdentifierTypeStateIssuer
85Y200OtherTXBCBS
089901502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX1287TXMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: jeffery.mcneely@direct.myteamcare.com

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1194742833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122619",
            "telephone_number": "806-744-1168",
            "fax_number": "806-744-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122619",
            "telephone_number": "806-744-1168",
            "fax_number": "806-744-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEELY",
        "first_name": "JEFFERY",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "TX1287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85Y200",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089901502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.