Michael Robert Mccoy (NPI# 1235389230, PAC ID# 0547278848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235389230 |
| PAC ID by PECOS | 0547278848 |
| Professional Enrollment ID | I20161101001274 |
| Full Name | Michael Robert Mccoy |
| Organization Legal Name | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| Address |
13570 N Main St Trenton GA 30752-2012 |
| Phone Number | 4046577575 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1976 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547272650 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| Address | Phone | Organization |
|---|---|---|
| 13570 N Main St, Trenton, GA 30752-2012 | 4046577575 | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| Organization Legal Name | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Bradley | Family Medicine | Primary Health Care Center of Dade, Inc. | 205 Jenkins Rd, Rossville, GA 30741-4016 |
| Dee Ann Harwell | Registered Dietitian Or Nutrition Professional | Primary Health Care Center of Dade, Inc. | 11638 Hwy 27 8, Summerville, GA 30747-8515 |
| Jose Justiniano Ayala | Family Medicine | Primary Health Care Center of Dade, Inc. | 87 S Burnt Mill Rd, La Fayette, GA 30728-4263 |
| Alfred Lua | Internal Medicine | Primary Health Care Center of Dade, Inc. | 13570 N Main St, Trenton, GA 30752-2012 |
| Street Address |
13570 N MAIN ST |
| City | TRENTON |
| State | GA |
| Zip | 30752-2012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfred Lua | Internal Medicine | Primary Health Care Center of Dade, Inc. | 13570 N Main St, Trenton, GA 30752-2012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| June Elaine Hanks | Physical Therapy | Trenton Physical Therapy | 12415 N Main St, Suite 1, Trenton, GA 30752 |
| George Reed | Physical Therapy | Trenton Physical Therapy | 12415 N Main St, Suite 1, Trenton, GA 30752 |
| Tamela Jordan | Physical Therapy | Trenton Physical Therapy | 12415 N Main St, Trenton, GA 30752 |
| James Durham | Chiropractic | 12605 N Main St, Trenton, GA 30752-0759 | |
| Holly Brooke Nelson | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 5395 Hwy 136, Trenton, GA 30752-2900 |
| Alvan Leon Graham Jr. | Optometry | 5377 Hwy 136, Trenton, GA 30752-2900 | |
| Charles A Mcdill | Chiropractic | 4580 Hwy 136, Trenton, GA 30752-2909 | |
| Elizabeth P Welch | Qualified Audiologist | Hearing Services of Franklin, LLC | 12136 S Main St, Hear Tn, Trenton, GA 30752-5151 |
| City | TRENTON |
| Zip Code | 30752 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TRENTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael Robert Mccoy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.