McCaysville Internal Medicine LLC
Internal Medicine in Blue Ridge, GA. Organization (NPI-2).
Details
- NPI
- 1477574473
- Entity type
- Organization (NPI-2)
- Legal business name
- McCaysville Internal Medicine LLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2006
- Last updated
- Apr 15, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
6 Elm StBlue Ridge, GA 30513-2906
Phone 706-492-4294 · Fax 706-492-4226
Mailing address
Po Box 1058Mc Caysville, GA 30555-1058
Phone 706-492-4294 · Fax 706-492-4226
Authorized official
Ronald Timothy Jabaley II
President
7064924226
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Internal Medicine Physician providers in Blue Ridge, GA
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All 8 Internal Medicine Physician providers in Blue Ridge · All 365 providers in Blue Ridge
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