Individual provider Active NPI

Gary Alan McCoy, D.C.

  • Chiropractor
  • Greenup, KY
National Provider Identifier
1821153461
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3952 Issued in KY
Practice address
1103 Seaton Ave Ste 1
Greenup, KY 41144-1132
Phone
(606) 618-9388
Fax
(606) 618-9389
NPI assigned
Dec 26, 2006
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3952 KY Primary

Addresses

Primary practice location

1103 Seaton Ave Ste 1
Greenup, KY 41144-1132

Mailing address

1103 Seaton Ave Ste 1
Greenup, KY 41144-1132
Phone (606) 618-9388

Other practice location 1

102 Biggs Lane
US 23
South Shore, KY 41175-0059
Phone (606) 932-4133

Other identifiers 2

IdentifierTypeStateIssuer
8500130300MedicaidKY
0687761MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3952KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Past Accepting new patients
Brick by Brick Mental Health Counseling and Spiritual Guidance Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1821153461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SEATON AVE STE 1",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441132",
            "telephone_number": "606-618-9388",
            "fax_number": "606-618-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 SEATON AVE STE 1",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441132",
            "telephone_number": "606-618-9388",
            "fax_number": "606-618-9389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Biggs Lane",
            "address_2": "US 23",
            "address_purpose": "LOCATION",
            "city": "South Shore",
            "state": "KY",
            "postal_code": "411750059",
            "country_code": "US",
            "telephone_number": "606-932-4133",
            "fax_number": "606-932-2453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500130300",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0687761",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenup, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.