THOMAS J MCELLIGOTT MD PC NPI 1003002767

Orthopaedic Surgery in Conyers, GA

About THOMAS J MCELLIGOTT MD PC

Thomas J Mcelligott Md Pc is a provider in Conyers, GA. The NPI number assigned to this provider is 1003002767. The practitioner's primary taxonomy code is Orthopaedic Surgery (207X00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Thomas J Mcelligott Md Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as East Metro Orthopaedics.

NPI1003002767 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTHOMAS J MCELLIGOTT MD PC
Provider Location Address2415 WALL ST SE SUITE B CONYERS, GA 30013 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2415 WALL ST SE SUITE B CONYERS, GA 30013 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameEAST METRO ORTHOPAEDICS Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date09-17-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-10-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

THOMAS J MCELLIGOTT MD PC
2415 WALL ST SE
SUITE B
CONYERS, GA
ZIP 30013
Phone: (770) 760-0234
Fax: (770) 760-0136
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Mailing Address

THOMAS J MCELLIGOTT MD PC
2415 WALL ST SE
SUITE B
CONYERS, GA
ZIP 30013
Phone: (770) 760-0234
Fax: (770) 760-0136

Primary Taxonomy

Taxonomy Code207X00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
License No.037617
License StateGA
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Authorized Official

Authorized Official NameDR. THOMAS J MCELLIGOTT MD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER/PHYSICIAN
Authorized Official Phone(770) 760-0234

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
20BDCKSMEDICARE PIN (08)GA
4440130001MEDICARE NSC (07)GA
00570963BMEDICAID (05)GA
F48542MEDICARE UPIN (02)GA

Map Location


THOMAS J MCELLIGOTT MD PC address is 2415 WALL ST SE SUITE B CONYERS, GA 30013

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184640997 SARVESWAR I NAIDU MD
Individual
Orthopaedic Surgery2415 WALL ST SE SUITE B
CONYERS, GA 30013
(770) 760-0234
1407984412DR. KIMBERLYN DARLENE FOWLER DDS
Individual
Dentist (General Practice)2415 WALL ST SE SUITE C
CONYERS, GA 30013
(678) 328-7001
1437429933THERAPY CENTER NORTH INC
Organization
Physical Therapist2415 WALL ST SE STE A
CONYERS, GA 30013
(770) 388-9249
1699738799 THOMAS J MCELLIGOTT MD
Individual
Specialist2415 WALL ST SE SUITE B
CONYERS, GA 30013
(770) 760-0234
1811930506MR. DONALD SHOWALTER PT, CHT
Individual
Physical Therapist (Hand)2415 WALL ST SE STE A
CONYERS, GA 30013
(770) 388-9249