Active NPI
MCR Health, Inc.
- Pediatrics Physician
- Smyrna, GA
National Provider Identifier
1699414409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MCR HEALTH, INC.
- Practice address
- 3065 S Cobb Dr SE
Smyrna, GA 30080-7807 - Phone
- (404) 296-7133
- NPI assigned
- May 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Carnegie
- Title
- President & Ceo
- Phone
- (941) 776-4000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
3065 S Cobb Dr SE
Smyrna, GA 30080-7807
Mailing address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000
Other names 1
- Decatur Pediatric Group
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Wesley Chapel, FL
- NPI 1942853619
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662076800000",
"number": "1699414409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERFRONT BLVD STE 710",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058812",
"telephone_number": "941-776-4000",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807807",
"telephone_number": "404-296-7133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCR HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-31",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A",
"authorized_official_last_name": "CARNEGIE",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "941-776-4000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Decatur Pediatric Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Decatur Pediatric Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.