Michael E McCormick, M.D.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

12771R Issued in LA

Practice address

86 Palmetto Rd
Rayville, LA 71269-6415

Phone

(318) 728-2970

Fax

(318) 728-7111

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Way Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Monroe, LA
  • NPI 1790347433
  NPD
• Palmetto Addiction Recovery Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Rayville, LA
  • NPI 1982794962
  NPD (past)
• Sullivan Management LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
  • NPI 1811721046
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1548204597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 PALMETTO RD",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712696415",
            "telephone_number": "318-728-2970",
            "fax_number": "318-729-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 PALMETTO RD",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712696415",
            "telephone_number": "318-728-2970",
            "fax_number": "318-728-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "12771R",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "LA",
            "license": "12771R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1555380",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Martin, CIT
• Donnesha Martin
• Gordon B. Massengale III, M.D.
• Steven Joseph Maybery, LAC, NCC
• Joseph Mazzanti
• Patricia Riley McEacharn
• Margaret Marie Meredith, O.T.
• Edward Joseph Michael
• Christopher Paul Middleton, OTR/L
• Catherine Miller

• Addiction Medicine (Preventive Medicine) Physician in Rayville, LA
• Providers in Rayville, LA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.