Active NPI
Richard P McEwan, MD
- Family Medicine Physician
- Brunswick, GA
National Provider Identifier
1952531493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 035688
- Practice address
- 160 Juniper CT Ste 101
Brunswick, GA 31520-1952 - Phone
- (912) 265-6711
- NPI assigned
- Jul 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 035688 | GA | Primary |
Addresses
Primary practice location
160 Juniper CT Ste 101
Brunswick, GA 31520-1952
Mailing address
160 Juniper CT Ste 101
Brunswick, GA 31520-1952
Phone (912) 265-6711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00516018A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
160 Juniper Court
Suite 101
Brunswick, GA 31520-1952
Phone (912) 265-6711
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035688 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GCFM LLC | Current | Accepting new patients |
Locations
160 Juniper Ct
Ste 101
Brunswick, GA 31520
Phone (912) 265-6711
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1952531493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 JUNIPER CT STE 101",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315201952",
"telephone_number": "912-265-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 JUNIPER CT STE 101",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315201952",
"telephone_number": "912-265-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWAN",
"first_name": "RICHARD",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-17",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "035688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00516018A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.