Active NPI
Justin McIvor Law, MD
- Emergency Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 72978
- Practice address
- 1400 Coleman Ave
Macon, GA 31207-0001 - Phone
- (478) 301-2700
- NPI assigned
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 076754 | GA | |
| Emergency Medicine Physician | 207P00000X | 72978 | TN | Primary |
Addresses
Primary practice location
1400 Coleman Ave
Macon, GA 31207-0001
Mailing address
1400 Coleman Ave
Macon, GA 31207-0001
Phone (478) 301-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
103 JV Mangubat Dr
Waynesboro, TN 38485-2440
Phone (931) 722-5411
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- West Tennessee Healthcare Milan Hospital
- West Tennessee Healthcare Bolivar Hospital
- Volunteer Community Hospital
- West Tennessee Healthcare Camden Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Consolidated Emergency Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Southland Chatuge Emergency Medical Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Southland Optim Screven Emergency Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Southland Bainbridge Hospitalist Group, LLC | Current | Accepting new patients | |
| WT University Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Southland Emergency Medical Services Consolidated, LLC | Family Medicine | Current | Accepting new patients |
| Southland TN Emergency Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| University of Tennessee | Family Medicine | Current | Accepting new patients |
| Emergency Medical Care Facilities PC | Emergency Medicine | Current | Accepting new patients |
| Southland Union Emergency Medical Services, LLC | Current | Accepting new patients | |
| Southland Cochran Emergency Medical Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Southland Emergency Medical Services, L.L.C | Emergency Medicine | Current | Accepting new patients |
| Southland Dodge Emergency Medical Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Small Hospital Innovations LLC | Emergency Medicine | Current | Accepting new patients |
| Wills Memorial Emergency Medical Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Mercer University School of Medicine | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812
1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060
90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
700 W Forest Ave
Fl 5
Jackson, TN 38301
Phone (731) 423-1932
294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932
367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000
161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261
4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668
103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404
Organizations & group practices 17
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.
-
- Emergency Medicine Physician
- Jackson, TN
- NPI 1538345855
-
- Emergency Medicine Physician
- Waynesboro, TN
- NPI 1518773712
-
- Hospitalist Physician
- Bainbridge, GA
- NPI 1356735336
-
- Emergency Medicine Physician
- Hiawassee, GA
- NPI 1881127942
-
- Emergency Medicine Physician
- Cocharan, GA
- NPI 1205241395
-
- Emergency Medicine Physician
- Elberton, GA
- NPI 1174917124
-
- Emergency Medicine Physician
- Eastman, GA
- NPI 1851958607
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
Family Medicine
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1477701472
-
- Emergency Medicine Physician
- Sylvania, GA
- NPI 1174917157
-
- Emergency Medical Services (Emergency Medicine) Physician
- Blairsville, GA
- NPI 1164954715
-
- Emergency Medicine Physician
- Clewiston, FL
- NPI 1184040560
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
- Critical Access Hospital
- Camden, TN
- NPI 1659347920
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
-
- General Acute Care Hospital
- Milan, TN
- NPI 1699765453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1962750323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 COLEMAN AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312070001",
"telephone_number": "478-301-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COLEMAN AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312070001",
"telephone_number": "478-301-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "JUSTIN",
"middle_name": "MCIVOR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-16",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "076754",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "72978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.