Active NPI
Tammy K. McLean, MD
- Dermatology Physician
- Columbus, GA
National Provider Identifier
1457365686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 053496
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695051329A | Medicaid | GA | |
| P01338529 | Other | GA | RAILROAD MEDICARE |
| 202I071208 | Other | GA | MEDICARE PTAN |
| 695051329C | Medicaid | GA |
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
| Organization | Specialty | Status | New 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 | Past | 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
- tammy.mclean@sfhga.gadirect.net
- tammy.mclean@gadirect.net
- 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.
-
- Clinic/Center
- Columbus, GA
- NPI 1609863133
-
- Clinic/Center
- Columbus, GA
- NPI 1053599043
-
- Ophthalmology Physician
- Columbus, GA
- NPI 1699868265
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.