NPIMap

Individual provider Active NPI

Kevin D Lanclos, MD

  • Internal Medicine Physician
  • Social Circle, GA
National Provider Identifier
1841297793
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47109 Issued in GA
Practice address
551 N Cherokee Rd
Social Circle, GA 30025-2887
Phone
(770) 787-6900
Fax
(770) 787-6962
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47109 GA Primary

Addresses

Primary practice location

551 N Cherokee Rd
Social Circle, GA 30025-2887

Mailing address

551 N Cherokee Rd
Social Circle, GA 30025-2887
Phone (770) 787-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110202000103 GA Practitioner - Internal Medicine 4284609660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

7143 Turner Lake Rd NW
Covington, GA 30014-2066
Phone (770) 788-9970

Hospital & facility affiliations

  • Amedisys Home Health of Covington Home health agency, Covington, GA, CCN 117065
  • Pruitthealth at Home - Atlanta Home health agency, Norcross, GA, CCN 117118
  • Adoration Home Health Home health agency, Covington, GA, CCN 117153
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince May 2, 2017 Accepting new patients
Newton County Medical Associates, PC Internal Medicine Current Accepting new patients
Piedmont Professional Services, LLC CurrentSince Aug 12, 2025 Accepting new patients
Emory Specialty Associates, LLC Internal Medicine Past Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860

6175 Newton Dr NE
Covington, GA 30014
Phone (770) 787-5600

5278 Adams St NE
Covington, GA 30014
Phone (770) 786-2201

7143 Turner Lake Rd NW
Covington, GA 30014
Phone (770) 787-4504

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

551 N Cherokee Rd
Social Circle, GA 30025
Phone (678) 342-6000

1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1841297793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N CHEROKEE RD",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300252887",
            "telephone_number": "770-787-6900",
            "fax_number": "770-787-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N CHEROKEE RD",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300252887",
            "telephone_number": "770-787-6900",
            "fax_number": "770-787-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCLOS",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "47109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Social Circle, GA

Sources for this page

Verify at the official NPI Registry.