MCCOY MEDICAL GROUP LLC
NPI 1568179612
Family Medicine in Bel Air, MD

NPI Status: Active since October 28, 2022

Contact Information

4C NORTH AVE STE 403
BEL AIR, MD
ZIP 21014
Phone: (443) 377-8624

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
CLIA Number: 21D2220432
CLIA Cert. Type: Practitioner Other
CLIA Exp. Date: 04-12-2027

About MCCOY MEDICAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Mccoy Medical Group Llc, a primary care provider established in Bel Air, Maryland operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1568179612 assigned on October 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Mccoy Medical Group Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Derek A Mccoy M.d. (President)

NPI: 1568179612
Provider Name: MCCOY MEDICAL GROUP LLC
Entity Type: Organization
Location Address: 4C NORTH AVE STE 403 BEL AIR, MD 21014
Location Phone: (443) 377-8624
Mailing Address: PO BOX 671 BEL AIR, MD 21014
Mailing Phone: (443) 377-8264
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-28-2022
Last Update Date: 08-29-2023
Code Navigator

A primary care provider (PCP) like Mccoy Medical Group Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DEREK A MCCOY M.D.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (443) 377-8264

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 21D2220432
Facility Type: Practitioner Other
Certificate Effective Date: April 13, 2025
Certificate Expiration Date: April 12, 2027
Laboratory Director: DR. DEREK A. MCCOY
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Mccoy Medical Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	6	8	1	7	9	6	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	12	8	2	7	18	6	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 2 + 7 + 1 + 8 + 6 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1568179612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

MS. TERRY L KNIGHT LCPC

Counselor

(Mental Health)