DR. CLINTON D. MCCORD JR. (NPI# 1376689901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376689901 |
| Entity Type | Individual |
| Full Name | DR. CLINTON D. MCCORD JR. |
| Credential | M.D. |
| Practice Address |
3200 Downwood Cir Nw Suite 640 Atlanta GA 30327-1610 |
| Practice Telephone | 4043510051 |
| Practice Fax Number | 6784207056 |
| Mailing Telephone | 4043510051 |
| Mailing Fax Number | 6784207056 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
009548 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3200 DOWNWOOD CIR NW SUITE 640 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708929 | Novamed Management Services LLC | Clinic/Center | 3200 Downwood Cir Nw, Ste 200, Atlanta, GA 30327-1610 | 2005-05-23 |
| 1679185342 | Carmen Bradshaw | Nurse Practitioner | 3200 Downwood Cir Nw, Atlanta, GA 30327-1610 | 2020-08-23 |
| 1235678483 | Peachtree Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 3200 Downwood Cir Nw, Suite 700, Atlanta, GA 30327-1610 | 2017-02-21 |
| 1174072383 | Pamela Lyman | Nurse Practitioner | 3200 Downwood Cir Nw, Suite 220, Atlanta, GA 30327-1610 | 2016-09-28 |
| 1811357502 | Stacey Dawn Tatroe | Nurse Practitioner | 3200 Downwood Cir Nw, Ste 550, Atlanta, GA 30327-1624 | 2016-02-24 |
| 1528425360 | Clark Laser & Cosmetic Dermatology, LLC | Dermatology | 3200 Downwood Cir Nw, Suite 360, Atlanta, GA 30327-1610 | 2016-01-25 |
| 1831554765 | Atlanta Knee and Shoulder Clinic PC | Non-Pharmacy Dispensing Site | 3200 Downwood Cir Nw, Suite 410, Atlanta, GA 30327-1610 | 2015-12-18 |
| 1699143131 | Atlanta Center for Endodontics, P.C. | Clinic/Center | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1407224991 | Melanie Burns | Dentist | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1770963993 | Ansley Mccarter | Physical Therapist | 3200 Downwood Cir Nw, Suite 350, Atlanta, GA 30327-1610 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851486955 | Louis Michael Dejoseph | Plastic Surgery | 6085 Barfield Road Northeast Suite 100, Atlanta, GA 30328 | 2006-10-04 |
| 1104883859 | William E Silver | Plastic Surgery | 980 Johnson Fy Rd Ne, Ste 110, Atlanta, GA 30342-1626 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447293584 | Joel M Stewart Jr. | Plastic Surgery | 874 Lanier Ave W, Suite 100, Fayetteville, GA 30214-7662 | 2006-06-14 |
| 1518212166 | Maria Helena Nascimento De Lima | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2012-07-19 |
| 1871829192 | Oculofacial Plastic Surgeons of Georgia, LLC | Plastic Surgery | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2009-10-21 |
| 1467494559 | Patricia Yugueros | Plastic Surgery | 6335 Hospital Pkwy, Suite 216, Johns Creek, GA 30097-1549 | 2006-06-12 |
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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.