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MCCAYSVILLE INTERNAL MEDICINE LLC
NPI 1477574473
Internal Medicine in Blue Ridge, GA

Active since July 22, 2006CLIA 11D1012165 · Waiver
6 ELM ST, BLUE RIDGE, GA 30513(706) 492-4294(706) 492-4226 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mccaysville Internal Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCCAYSVILLE INTERNAL MEDICINE LLC (NPI 1477574473) is a healthcare organization registered as an internal medicine in Blue Ridge, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Ronald Timothy Jabaley Ii, President, as its authorized official.

NPPES Registry Identity

NPI1477574473
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMCCAYSVILLE INTERNAL MEDICINE LLC
Location Address6 ELM STBlue Ridge, GA 30513-2906
Mailing AddressPo Box 1058Mc Caysville, GA 30555-1058 · (706) 492-4294 · Fax (706) 492-4226
Phone(706) 492-4294
Fax(706) 492-4226
Organization SubpartNo
Authorized OfficialRonald Timothy Jabaley IiPresident · (706) 492-4226
Enumeration DateJuly 22, 2006
Last NPPES UpdateApril 15, 2015
✔ NPI 1477574473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6 ELM ST, Blue Ridge, GA 30513
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Other Identifiers 4

OtherDG1562Railroad Medicare
Medicaid3709117TN
Medicare PIN3709117TN
Medicare PINGRP7021GA

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1012165

Mccaysville Internal Medicine · Blue Ridge, GA
Active · expires May 1, 2027
CLIA Number11D1012165
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorRonald T. Jabaley II
Laboratory Phone(706) 492-4294
Laboratory LocationMccaysville Internal Medicine6 Elm Street, Blue Ridge, GA 30513
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RONALD TIMOTHY JABALEY II MD
Internal Medicine
6 ELM ST
BLUE RIDGE, GA 30513
Fannin County (706) 492-4294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mccaysville Internal Medicine LLC's NPI number?

The NPI number for Mccaysville Internal Medicine LLC is 1477574473. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Mccaysville Internal Medicine LLC located?

Mccaysville Internal Medicine LLC is located at 6 Elm St, Blue Ridge, GA 30513. The listed phone number is (706) 492-4294.

What is Mccaysville Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mccaysville Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1012165) is associated with this NPI, valid through May 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mccaysville Internal Medicine LLC was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.