Active NPI
Clinton D. McCord Jr., M.D.
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Atlanta, GA
National Provider Identifier
1376689901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- 009548
- Practice address
- 3200 Downwood Cir NW
Suite 640
Atlanta, GA 30327-1610 - Phone
- (404) 351-0051
- Fax
- (678) 420-7056
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 009548 | GA | Primary |
Addresses
Primary practice location
3200 Downwood Cir NW
Suite 640
Atlanta, GA 30327-1610
Mailing address
3200 Downwood Cir NW
Suite 640
Atlanta, GA 30327-1610
Phone (404) 351-0051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009548 | GA | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376689901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 DOWNWOOD CIR NW",
"address_2": "SUITE 640",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303271610",
"telephone_number": "404-351-0051",
"fax_number": "678-420-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 DOWNWOOD CIR NW",
"address_2": "SUITE 640",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303271610",
"telephone_number": "404-351-0051",
"fax_number": "678-420-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORD",
"first_name": "CLINTON",
"middle_name": "D.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "GA",
"license": "009548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.