MCG Diversified, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MCG DIVERSIFIED, LLC

Doing business as

H.O.P.E

Practice address

809 Mill Branch Rd
Rocky Mount, NC 27803-8512

Phone

(252) 446-6243

Fax

(252) 446-6244

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bobby E McGuire Sr.

Title

Owner

Phone

(252) 883-9329

Specialties & licenses 1

Addresses

Other names 1

• H.O.P.E Doing business as

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1700065224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 MILL BRANCH RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038512",
            "telephone_number": "252-446-6243",
            "fax_number": "252-446-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MILL BRANCH RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038512",
            "telephone_number": "252-446-6243",
            "fax_number": "252-446-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCG DIVERSIFIED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-883-9329",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H.O.P.E",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claude Holbert McCuen III
• Latoya McCurdy, FNP-BC
• Rebecca Daniels McDaniel, WHNP
• Julia Renee McDermott Miller, DC
• Tameka Lucas McFarland, LMFTA
• Amanda Oney McGee, NP
• David Edward McGlohon, DDS
• Michelle McKinney Manning, LMBT, CMLDT
• William Henry McLaughlin, RPH
• Julian E.C. McLeod, PA

• Preferred Provider Organization in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.