Organization Active NPI

Raymond C McKoy, DO, PC

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1326336736
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
044536 Issued in GA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.