NPIMap

Individual provider Active NPI

Raymond Campbell McKoy, D.O.

  • Internal Medicine Physician
  • La Fayette, GA
National Provider Identifier
1295741460
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44536 Issued in GA
Practice address
3824 S Highway 27
La Fayette, GA 30728-3967
Phone
(706) 639-9055
Fax
(706) 639-9057
NPI assigned
Jul 31, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44536 GA Primary

Addresses

Primary practice location

3824 S Highway 27
La Fayette, GA 30728-3967

Mailing address

4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102
Phone (770) 442-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060614000022 GA Practitioner - Internal MedicinePractitioner - Family Practice 7214949197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1255 Friendship Rd
Suite 130
Braselton, GA 30517-5617
Phone (770) 442-1911

3824 S Hwy 27
La Fayette, GA 30728-3967
Phone (706) 639-9055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Feb 15, 2026 Accepting new patients
Lighthouse Treatment Centers of Georgia LLC Addiction Medicine CurrentSince Apr 1, 2025 Accepting new patients
Crossroads Treatment Center of Northwest Georgia CurrentSince Aug 1, 2026 Accepting new patients
Senior Medical Systems, LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Crossroads Treatment Center of Lagrange, PC CurrentSince Aug 1, 2026 Accepting new patients
Crossroads Treatment Center of Calhoun, PC CurrentSince Aug 1, 2026 Accepting new patients
Cartersville Urgent Care LLC Family Medicine Past Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients
Family Care of Northwest Georgia Past Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

650 Henderson Dr
Ste 430
Cartersville, GA 30120
Phone (404) 334-5859

37 Kiker St
Ellijay, GA 30540
Phone (706) 636-5483

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

3824 S Highway 27
La Fayette, GA 30728
Phone (706) 639-9055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1295741460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N POINT PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224102",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S HIGHWAY 27",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307283967",
            "telephone_number": "706-639-9055",
            "fax_number": "706-639-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "RAYMOND",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "44536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Fayette, GA

Sources for this page

Verify at the official NPI Registry.