Organization Active NPI

McLaulin Practice LLC

  • Adult Mental Health Clinic/Center
  • Waverly, GA
National Provider Identifier
1366865719
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
022248 Issued in GA
Legal business name
MCLAULIN PRACTICE LLC
Practice address
283 Milton LN
Waverly, GA 31565-1931
Phone
(215) 284-8434
NPI assigned
Jan 21, 2014
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Dr. John Bryce McLaulin, M. D.
Title
Owner
Phone
(215) 284-8434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 022248 GA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 022248 GA

Addresses

Primary practice location

283 Milton LN
Waverly, GA 31565-1931

Mailing address

283 Milton LN
Waverly, GA 31565-1931
Phone (215) 284-8434

National Provider Directory

National Provider Directory

Locations

202 Lakeshore Dr
Ste C
Saint Marys, GA 31558
Phone (912) 882-5515

Practitioners & affiliated clinicians

Practitioners 3

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": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1366865719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 MILTON LN",
            "city": "WAVERLY",
            "state": "GA",
            "postal_code": "315651931",
            "telephone_number": "215-284-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 MILTON LN",
            "city": "WAVERLY",
            "state": "GA",
            "postal_code": "315651931",
            "telephone_number": "215-284-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAULIN PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "MCLAULIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-284-8434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "022248",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "022248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.