MCC Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

66228 Issued in GA

Legal business name

MCC INTERNAL MEDICINE LLC

Practice address

6501 Peake Rd
Suite 100
Macon, GA 31210-8042

Phone

(478) 442-3292

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Jeremiah Ramos McClure, MDNPI 1700049772

Title

Ceo

Phone

(478) 442-3292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Ramos McClure, MD

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1700049772
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1609299361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-442-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-442-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-442-3292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "66228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne P McAllister, M.D.
• Brooke McArthur
• Kathryn M. McAteer, MA,CCC/SLP
• Courtney McBroom
• MCC Internal Medicine 2, LLC
• Arthur Hamilton McCain, MD
• Nikiki Catherine McCallum
• Ninita McCan
• McCane Labs LLC
• Elizabeth McCane

• Internal Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.