Thomas Hatton McCoy, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

30207 Issued in NC

Practice address

539 Rolling Acres Rd
Lady Lake, FL 32159-5035

Phone

(352) 973-4070

Fax

(352) 973-4085

NPI assigned

Nov 18, 2005

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Surgical Practice Resource Group of Florida Inc

  • Multi-Specialty Clinic/Center
  • Lady Lake, FL
  • NPI 1992162291
  Medicare reassignment NPD

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1255313730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 ROLLING ACRES RD",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595035",
            "telephone_number": "352-973-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 ROLLING ACRES RD",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595035",
            "telephone_number": "352-973-4070",
            "fax_number": "352-973-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "THOMAS",
        "middle_name": "HATTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "30207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7955895",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N30207",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Martin, CCC-SLP
• Samuel A Mason, DPM
• Emily Matheson, FNP
• Nikola Kankova Matson, CRNA
• Tyme McCormick, PTA
• Natalie Fernandez McGonigal
• Jordyn McKee
• Glenn R McKeon, PA-C
• Hilary McNamara
• Medical Imaging & Therapeutics LLC

• Orthopaedic Surgery Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.