THERON GARRICK MCCORMICK MD
NPI 1649367541
Pediatrics - Pediatric Allergy/Immunology in Baton Rouge, LA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
8200 CONSTANTIN BLVD FL 3, BATON ROUGE, LA 70809(225) 765-5500(225) 765-4378 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theron Garrick Mccormick Md NPPES

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

THERON GARRICK MCCORMICK MD (NPI 1649367541) is an individual pediatric allergy/immunology provider in Baton Rouge, Louisiana, licensed in Louisiana (201441) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1649367541
Entity TypeIndividualMale
Primary Taxonomy2080P0201X
Provider Legal NameTHERON GARRICK MCCORMICKCredential: MD
Location Address8200 CONSTANTIN BLVD FL 3Baton Rouge, LA 70809-3481
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 526-0011 · Fax (225) 765-9196
Fax(225) 765-4378
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2000
Enumeration DateOctober 10, 2006
Last NPPES UpdateFebruary 5, 2021
NPPES CertifiedFebruary 5, 2021
NPI 1649367541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License Licensed in LA · 201441
Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 201441 (LA), L5832 (TX)
8200 CONSTANTIN BLVD FL 3, Baton Rouge, LA 70809

Secondary Practice Location 1

Location 17777 Hennessy Blvd, Suite 408Baton Rouge, LA 70808-4300 · Phone (225) 765-6834 · Fax (225) 765-4378

Other Identifiers 1

Medicaid1017973LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theron Garrick Mccormick Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163467465
PECOS Enrollment IDI20071003000692
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Other Providers at the Same Location NPPES 16

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

Dietitian, Registered
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA 70809
Neurological Surgery
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA 70809
Nurse Practitioner (Pediatrics)
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA 70809
Pediatrics
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA 70809
Pediatrics (Pediatric Allergy/Immunology)
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA 70809
Pediatrics (Pediatric Pulmonology)
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA 70809
Physician Assistant
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA 70809
Pediatrics (Pediatric Pulmonology)
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA 70809

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 Theron Mccormick's NPI number?

The NPI number for Theron Mccormick is 1649367541. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Theron Mccormick located?

Theron Mccormick practices at 8200 Constantin Blvd Fl 3, Baton Rouge, LA 70809. The listed phone number is (225) 765-5500.

What is Theron Mccormick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Theron Mccormick enrolled in Medicare?

Yes. Theron Mccormick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theron Mccormick accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Theron Mccormick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theron Mccormick affiliated with any hospitals?

According to CMS data, Theron Mccormick is affiliated with Our Lady Of The Lake Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Theron Mccormick was last updated on February 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.