Individual provider Active NPI

Robert Rion McClelland, D.C.

  • Chiropractor
  • Watkinsville, GA
National Provider Identifier
1497820104
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006421 Issued in GA
Practice address
1592 Mars Hill Rd Ste B
Watkinsville, GA 30677-4890
Phone
(715) 441-1193
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006421 GA Primary

Addresses

Primary practice location

1592 Mars Hill Rd Ste B
Watkinsville, GA 30677-4890

Mailing address

1592 Mars Hill Rd Ste B
Watkinsville, GA 30677-4890
Phone (715) 441-1193

Other identifiers 1

IdentifierTypeStateIssuer
38962100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150304000760 GA Practitioner - Chiropractic 2365346590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3651 Mars Hill Rd
Suite 2900a
Watkinsville, GA 30677-5985
Phone (864) 784-3794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006421GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health 1St Chiropractic and Rehabilitation, Inc. Chiropractor CurrentSince Sep 15, 2014 Accepting new patients
Relaunch Psychiatry Services Past Accepting new patients
McClelland Chiropractic and Wellness Chiropractor PastSince Mar 1, 2011 Accepting new patients
Lead the Way Psychiatry LLC Past Accepting new patients

Locations

1592 Mars Hill Rd
Ste B
Watkinsville, GA 30677
Phone (706) 705-1687

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1497820104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774890",
            "telephone_number": "715-441-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774890",
            "telephone_number": "715-441-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "ROBERT",
        "middle_name": "RION",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38962100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.