Individual provider Active NPI

Mark E. McClinton, MD

  • Otolaryngology Physician
  • Newnan, GA
National Provider Identifier
1558355263
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
068453 Issued in GA
Practice address
795 Poplar Rd Ste 302
Newnan, GA 30265-2589
Phone
(770) 683-2155
Fax
(770) 683-2154
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 068453 GA Primary

Addresses

Primary practice location

795 Poplar Rd Ste 302
Newnan, GA 30265-2589

Mailing address

795 Poplar Rd Ste 302
Newnan, GA 30265-2589
Phone (770) 683-2155

Other identifiers 7

IdentifierTypeStateIssuer
4165410OtherTNBLUE CROSS BLUE SHIELD
003127397AMedicaidGA
003127397BMedicaidGA
264617000MedicaidFL
3000787MedicaidTN
2831191OtherFLAETNA
3000787OtherTNMEDICARE PTAN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120928000267 GA Practitioner - Otolaryngology 4385730852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tulane University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

795 Poplar Rd
Suite 302
Newnan, GA 30265-2582
Phone (770) 683-2155

Hospital & facility affiliations

  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score
91.31 of 100Reported as group
Quality
84.74
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC CurrentSince Jun 24, 2016 Accepting new patients
McClinton ENT of Newnan, LLC Otolaryngology CurrentSince Jul 9, 2019 Accepting new patients
East Tennessee Ear, Nose & Throat Specialists, PC Otolaryngology Past Accepting new patients
ENT and Allergy Associates of Florida, LLC Otolaryngology PastSince Jun 1, 2015 Accepting new patients
Ear,Nose,Throat & Facial Plastic Surgery Center,of South Florida, P.a. Past Accepting new patients
East Tennessee Ear, Nose & Throat Specialists, PC Otolaryngology PastSince Jul 8, 1991 Accepting new patients

Locations

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

795 Poplar Rd
Ste 302
Newnan, GA 30265
Phone (770) 683-2155

2301 Newnan Crossing Blvd E
Ste 120
Newnan, GA 30265
Phone (770) 683-2155

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDGCD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1558355263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 POPLAR RD STE 302",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652589",
            "telephone_number": "770-683-2155",
            "fax_number": "770-683-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 POPLAR RD STE 302",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652589",
            "telephone_number": "770-683-2155",
            "fax_number": "770-683-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTON",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "068453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4165410",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127397A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127397B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264617000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000787",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2831191",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3000787",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.