MCC Internal Medicine 2, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

66228 Issued in GA

Legal business name

MCC INTERNAL MEDICINE 2, LLC

Practice address

6501 Peake Rd
Suite 100
Macon, GA 31210-8042

Phone

(478) 273-2662

Fax

(478) 246-0637

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley Depp

Title

Payer Relations Liaison

Phone

(770) 579-2626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1366899189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468329",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311468329",
            "telephone_number": "770-579-2626",
            "fax_number": "866-499-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-273-2662",
            "fax_number": "478-246-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC INTERNAL MEDICINE 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "DEPP",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PAYER RELATIONS LIAISON",
        "authorized_official_telephone_number": "770-579-2626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "66228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Michael McAfee, RPH
• Yvonne P McAllister, M.D.
• Brooke McArthur
• Kathryn M. McAteer, MA,CCC/SLP
• Courtney McBroom
• MCC Internal Medicine LLC
• Arthur Hamilton McCain, MD
• Nikiki Catherine McCallum
• Ninita McCan
• McCane Labs LLC

• Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.