Gardner McCoy, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN144967 Issued in GA

Practice address

6601 Zebulon Rd
Macon, GA 31220-7606

Phone

(478) 477-3383

Fax

(478) 475-9492

NPI assigned

Dec 6, 2012

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• Hephzibah Childrens Home

  • Mental Health Counselor
  • Macon, GA
  • NPI 1083054514
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1720323488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 WESLEYAN WOODS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 ZEBULON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312207606",
            "telephone_number": "478-477-3383",
            "fax_number": "478-475-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "GARDNER",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN144967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Ramos McClure, MD
• Brian Brewton McCluskey
• Charles Freeman McCluskey
• W Rob McCormack, DMD
• Shannon L. McCormick
• Katanga McCoy, DPM
• Melissa McCoy, CERTIFIED HAIR LOSS
• Tiara McCoy
• Matthew Michael McCrory, AGACNP-BC
• Jennifer Anne McCulley

• Registered Nurse in Macon, GA
• Providers in Macon, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.