JUSTIN MCIVOR LAW (MD) – Emergency Medicine Physician, NPI 1962750323

JUSTIN MCIVOR LAW (MD) is a healthcare provider. based in Macon, Georgia. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 076754 (GA). The NPI Number for JUSTIN MCIVOR LAW (MD) is 1962750323

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN MCIVOR LAW (MD)
NPI
1962750323
Phone
(478) 301-2700
Address
1400 COLEMAN AVE
Enumeration Date
16 August 2012
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
1456343730
Group Practice PAC ID
5799036182
Professional Enrollment ID
I20170404002559
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for JUSTIN MCIVOR LAW (MD)

  • 1400 COLEMAN AVE

    MACON, GA 312070001

    Phone: (478) 301-2700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170404002559IFamily PracticeGATBD
I20240806002036IEmergency MedicineFLTBD
I20250512001603IFamily PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making10291$0
99285Emergency department visit with high level of medical decision making9592$0
99291Critical care, first 30-74 minutes1616$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1515$0
View full utilization report →

Insurance plans in this area (ZIP 31207)

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Reviews

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Frequently asked questions

How is JUSTIN MCIVOR LAW (MD) identified in CMS data?
CMS-hosted NPPES data lists JUSTIN MCIVOR LAW (MD) with NPI 1962750323.
Can I rely on JUSTIN MCIVOR LAW (MD) being an active provider?
As of the registry snapshot, JUSTIN MCIVOR LAW (MD) is marked active.
What healthcare role does JUSTIN MCIVOR LAW (MD) hold?
Scheduling teams often label JUSTIN MCIVOR LAW (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JUSTIN MCIVOR LAW (MD) based?
JUSTIN MCIVOR LAW (MD) is tied to Macon, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about JUSTIN MCIVOR LAW (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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