Active NPI
McLaulin Practice LLC
- Adult Mental Health Clinic/Center
- Waverly, GA
National Provider Identifier
1366865719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 022248
- 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, 2014
- 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. John Bryce McLaulin, M. D.
- Title
- Owner
- Phone
- (215) 284-8434
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatry Physician
- Brunswick, GA
- NPI 1457494130
-
- Clinical Social Worker
- Saint Marys, GA
- NPI 1891857249
-
- Family Nurse Practitioner
- Brunswick, GA
- NPI 1861031023
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.