JUSTIN MCIVOR LAW (NPI# 1962750323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962750323 |
| Entity Type | Individual |
| Full Name | JUSTIN MCIVOR LAW |
| Practice Address |
1400 Coleman Ave Macon GA 31207-0001 |
| Practice Telephone | 4783012700 |
| Mailing Telephone | 4783012700 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 076754 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831755925 | Justin Law | Specialist/Technologist | 500 W Fort St, Boise, ID 83702-4501 | 2019-05-14 |
| Street Address |
1400 COLEMAN AVE |
| City | MACON |
| State | GA |
| Zip Code | 31207-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285747642 | Kristin Elizabeth Bourque | Specialist/Technologist | 1400 Coleman Ave, Mercer University Athletic Department, Macon, GA 31207-0001 | 2006-08-17 |
| 1619400348 | Devon Tobey | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-1100 | 2017-04-10 |
| 1205245016 | Tipton Dovey Sholes | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2014-08-05 |
| 1306270210 | Michael Lowery | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-27 |
| 1619301884 | Samuel Devictor | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-23 |
| 1659705986 | Mercer University School of Medicine | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-22 |
| 1770917155 | Annalee Joy Wittmeyer | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-21 |
| 1861825499 | Matthew Warren | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-19 |
| 1033558630 | Ayesha Tabassom | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-06-18 |
| 1962780999 | Eric R Carter | Specialist/Technologist | 1400 Coleman Ave, Macon, GA 31207-0001 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770004715 | Renee Boudreaux | Podiatrist | 1501 Mercer University Dr, Macon, GA 31207 | 2017-06-29 |
| 1316296627 | Jonathan Gustav Bulla | Student in an Organized Health Care Education/Training Program | 1550 College Street, Macon, GA 31207 | 2012-08-31 |
| 1366723751 | Abigail Lewis | Family Medicine | 1550 College St, Macon, GA 31207 | 2011-08-30 |
| 1265596589 | Elizabeth Jean Hudson-weires | Registered Nurse | 1550 College Street, Macon, GA 31207 | 2006-12-21 |
| 1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
| 1558921973 | Anna Nielsen Walker | Pathology | Mercer University School of Medicine Dept of Pathology, Macon, GA 31207-0001 | 2019-06-18 |
| 1770057788 | Brian Daniel Wright | Student in an Organized Health Care Education/Training Program | 1550 College Steeet, Macon, GA 31207-0001 | 2019-01-14 |
| 1710481049 | Sarah Nicole Telliard | Student in an Organized Health Care Education/Training Program | Mercer University School of Medicine 1550 College St, Macon, GA 31207-0001 | 2018-03-21 |
| 1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
| 1760665913 | Daniel John Gibbs | Specialist/Technologist | University Athletics, 1400 Coleman Ave, Macon, GA 31207-0001 | 2007-12-11 |
| Find all providers in zip 31207 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393953 | Umerah Family Practice LLC | Family Medicine | 112 Arkwright Lndg Ste B, Macon, GA 31210-1364 | 2019-12-16 |
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1578025300 | Shail Patel | Family Medicine | 3780 Eisenhower Pkwy Ste 1, Macon, GA 31206-0801 | 2019-04-01 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1255779351 | Kristopher K Mcjenkin | Family Medicine | 105 Bass Plantation Dr, Apt 607, Macon, GA 31210-5735 | 2013-06-11 |
| 1750620191 | Derrick Lane, Md, LLC | Family Medicine | 818 Forsyth St, Macon, GA 31201-2139 | 2013-02-05 |
| 1215182977 | Unlimited Medical Solutions, Inc. | Family Medicine | 3200 Riverside Dr Bldg B, Macon, GA 31210-2550 | 2008-11-22 |
| 1144474784 | Jack Fernando Menendez | Family Medicine | 376 Rogers Ave, Macon, GA 31204-2506 | 2008-11-10 |
| 1255504098 | Veera Pavuluri | Family Medicine | 132 Madison North Dr, Macon, GA 31220-7626 | 2008-04-11 |
| 1871770412 | Albert Warren Jr. | Family Medicine | 1339 Gray Hwy, Macon, GA 31211-1903 | 2008-01-25 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.