Mark McDonald, B.S.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1202 S James Campbell Blvd
Ste 7a
Columbia, TN 38401-5193

Phone

(931) 381-0020

Fax

(931) 381-0529

NPI assigned

Aug 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1386078061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 S JAMES CAMPBELL BLVD",
            "address_2": "STE 7A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015193",
            "telephone_number": "931-381-0020",
            "fax_number": "931-381-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S JAMES CAMPBELL BLVD",
            "address_2": "STE 7A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015193",
            "telephone_number": "931-381-0020",
            "fax_number": "931-381-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Pearl McCoy
• Reba J McCoy, RN, MSN, FNP-BC
• Carla McCullough Jones, L.M.S.W
• Heather McDonald, B.A.
• Jill T McDonald
• Jennifer Leigh Ann McGee
• David Joseph McGory, LCSW
• Suzanne McKelvy, PHARMD
• Tracy Renee McKinnes-Carter
• Patricia Cameron McLeod, RN

• Addiction (Substance Use Disorder) Counselor in Columbia, TN
• Providers in Columbia, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.