Individual provider Active NPI

Tammy K. McLean, MD

  • Dermatology Physician
  • Columbus, GA
National Provider Identifier
1457365686
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
053496 Issued in GA
Practice address
6600 Whittlesey Blvd Unit a
Columbus, GA 31909-7334
Phone
(706) 323-3491
Fax
(706) 660-9191
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 053496 GA Primary

Addresses

Primary practice location

6600 Whittlesey Blvd Unit a
Columbus, GA 31909-7334

Mailing address

6600 Whittlesey Blvd Unit a
Columbus, GA 31909-7334
Phone (706) 323-3491

Other identifiers 4

IdentifierTypeStateIssuer
695051329AMedicaidGA
P01338529OtherGARAILROAD MEDICARE
202I071208OtherGAMEDICARE PTAN
695051329CMedicaidGA

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Clinic, P.C. Current Accepting new patients
Mac - Macon Road LLC Current Accepting new patients
St Francis Columbus Clinic LLC Dermatology Current Accepting new patients
West Georgia Eye Care Center, PA PastSince Aug 22, 1994 Accepting new patients

Locations

705 17th St
Columbus, GA 31901
Phone (706) 243-4404

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

705 17th St
Ste 300
Columbus, GA 31901
Phone (706) 322-7884

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

Interoperability endpoints

  • Direct secure messaging: tammy.mclean@sfhga.gadirect.net
  • Direct secure messaging: tammy.mclean@gadirect.net
  • Direct secure messaging: tammymclean@mld.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1457365686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 WHITTLESEY BLVD UNIT A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097334",
            "telephone_number": "706-323-3491",
            "fax_number": "706-660-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 WHITTLESEY BLVD UNIT A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097334",
            "telephone_number": "706-323-3491",
            "fax_number": "706-660-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "TAMMY",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "053496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695051329A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01338529",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I071208",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695051329C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.