Jennifer L McClure

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

111078 Issued in GA

Practice address

1676 Mulkey Rd
Ste a
Austell, GA 30106-1170

Phone

(678) 838-6600

Fax

(678) 838-6602

NPI assigned

Feb 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Georgia Spine and Brain, PC

  • Neurological Surgery Physician
  • Austell, GA
  • NPI 1306876198
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1649419557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 MULKEY RD",
            "address_2": "STE A",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061170",
            "telephone_number": "678-838-6600",
            "fax_number": "678-838-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 MULKEY RD",
            "address_2": "STE A",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061170",
            "telephone_number": "678-838-6600",
            "fax_number": "678-838-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "GA",
            "license": "111078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Huffman McCain, RD, LD, CDCES
• Natalie Yvonne McCall-Gaston, FNP
• Michael M McCann, CNM
• Tanesha Marie McCauley, D.O
• Jamise R McCleod, LPC
• McCollum-McCollum & Associates
• Eric J McCormick, PA
• Michael Timothy McCormick
• Glenora McCoy, MD
• Jesse McCoy, RN, BSN

• Surgical Technologist in Austell, GA
• Providers in Austell, GA by specialty
• Surgical Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.