Individual provider Active NPI

Thomas McGinn, DO

  • Family Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1477901577
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82887 Issued in GA
Practice address
11459 Johns Creek Pkwy Ste 250
Johns Creek, GA 30097-3517
Phone
(770) 497-1555
Fax
(770) 497-9998
NPI assigned
May 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 82887 GA Primary

Addresses

Primary practice location

11459 Johns Creek Pkwy Ste 250
Johns Creek, GA 30097-3517

Mailing address

11459 Johns Creek Pkwy Ste 250
Johns Creek, GA 30097-3517
Phone (770) 497-1555

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
82887GAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1477901577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY STE 250",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973517",
            "telephone_number": "770-497-1555",
            "fax_number": "770-497-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY STE 250",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973517",
            "telephone_number": "770-497-1555",
            "fax_number": "770-497-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINN",
        "first_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "82887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.