THERON GARRICK MCCORMICK MD
NPI 1649367541
Pediatrics - Pediatric Allergy/Immunology in Baton Rouge, LA
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, maintains a secondary practice location in Baton Rouge, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2000).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Theron Mccormick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 873 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
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.
Which organization bills Medicare for Theron Mccormick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theron Mccormick reassigns Medicare benefits to Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theron Mccormick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
When was this NPI record last updated?
The NPPES record for Theron Mccormick was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Theron Garrick Mccormick, MD · NPI 1649367541
Pediatric Allergy/Immunology physician in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1649367541 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Pediatrics - Pediatric Allergy/Immunology · taxonomy 2080P0201X
- **State license:** 201441 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8200 CONSTANTIN BLVD FL 3, Baton Rouge, LA 70809-3481
- **Phone:** (225) 765-5500 · **Fax:** (225) 765-4378
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Our Lady Of The Lake Physician Group LLC (NPI 1033494943, Baton Rouge, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 2000
## Record status
- **NPPES last updated:** February 5, 2021
- **Other identifiers:** Medicaid 1017973 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1649367541) · Data from the CMS NPPES public registry.