Individual provider Active NPI

Clinton Edgar McElroy, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbus, GA
National Provider Identifier
1750574455
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
65284 Issued in GA
Practice address
2122 Manchester Expy
Columbus, GA 31904-6878
Phone
(404) 574-3364
NPI assigned
Aug 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 65284 GA Primary

Addresses

Primary practice location

2122 Manchester Expy
Columbus, GA 31904-6878

Mailing address

7401 Blackmon Rd
Apt. 3401
Columbus, GA 31909-4489
Phone (404) 574-3365

Other names 1

  • Dr. Clint E McElroy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000602 GA Practitioner - Pathology 5395901482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Emory University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

203 Indigo Dr
Brunswick, GA 31525-6865
Phone 91226126691205

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65284GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Health LLC Current Accepting new patients
Southwestern Pathology Associates, LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
David Eugene Martin MD PC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2019 Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2019 Accepting new patients
Coastal Care Inc Past Accepting new patients

Locations

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

203 Indigo Dr
Brunswick, GA 31525
Phone (912) 279-1900

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

616 19th St
Columbus, GA 31901
Phone (706) 494-4262

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

898 College St
Monticello, GA 31064
Phone (706) 468-0988

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2810 N Oak St
Valdosta, GA 31602
Phone (229) 259-0019

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

2005 Pioneer St
Ste B
Waycross, GA 31501
Phone (912) 285-8822

Interoperability endpoints

  • Direct secure messaging: clinton.mcelroy@westgahealth.gadirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1750574455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 BLACKMON RD",
            "address_2": "APT. 3401",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094489",
            "telephone_number": "404-574-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 MANCHESTER EXPY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046878",
            "telephone_number": "404-574-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "CLINTON",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-26",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "65284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLINT",
            "last_name": "MCELROY",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.