Active NPI
Raymond C McKoy, DO, PC
- Family Medicine Physician
- Rome, GA
National Provider Identifier
1326336736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 044536
- Legal business name
- RAYMOND C MCKOY, DO, PC
- Practice address
- 310 W 10TH St NE
Rome, GA 30165-2639 - Phone
- (512) 434-9064
- NPI assigned
- Jul 19, 2011
- Last updated
- Apr 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Clayton McKoy, DO
- Title
- Physician
- Phone
- (706) 346-2130
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 044536 | GA | Primary |
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
310 W 10TH St NE
Rome, GA 30165-2639
Mailing address
310 W 10TH St NE
Rome, GA 30165-2639
Phone (706) 346-2130
National Provider Directory
National Provider DirectoryLocations
808 Avenue B NE
Ste C
Rome, GA 30165
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Rome, GA
- NPI 1215546999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682380800000",
"number": "1326336736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W 10TH ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301652639",
"telephone_number": "706-346-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W 10TH ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301652639",
"telephone_number": "512-434-9064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND C MCKOY, DO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-19",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A",
"authorized_official_last_name": "MCKOY",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "CLAYTON",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "706-346-2130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "044536",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.