Organization Active NPI

McClinton ENT of Newnan, LLC

  • Otolaryngology Physician
  • Newnan, GA
National Provider Identifier
1265091847
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MCCLINTON ENT OF NEWNAN, LLC
Practice address
795 Poplar Rd Ste 302
Newnan, GA 30265-2589
Phone
(770) 683-2155
Fax
(770) 683-2154
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Dr. Mark E McClinton, MDNPI 1558355263
Title
Owner
Phone
(770) 683-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

795 Poplar Rd Ste 302
Newnan, GA 30265-2589

Mailing address

795 Poplar Rd Ste 302
Newnan, GA 30265-2589
Phone (770) 683-2155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191231002030 GA Part B Supplier - Clinic/Group Practice 5890029789 Receives reassigned benefits from 4 practitioners
Practice locations: Newnan, GA

National Provider Directory

National Provider Directory

Locations

795 Poplar Rd
Ste 302
Newnan, GA 30265
Phone (770) 683-2155

2301 Newnan Crossing Blvd E
Ste 120
Newnan, GA 30265
Phone (770) 683-2155

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1265091847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 POPLAR RD STE 302",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652589",
            "telephone_number": "770-683-2155",
            "fax_number": "770-683-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 POPLAR RD STE 302",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652589",
            "telephone_number": "770-683-2155",
            "fax_number": "770-683-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLINTON ENT OF NEWNAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MCCLINTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-683-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.