Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin McIvor Law, MD

Individual provider Family Medicine Physician · NPI 1962750323

Justin McIvor Law, MD is a Family Practice in Macon, Georgia. Qualified in 2015, 11 years ago. Practices with Southland Tn Emergency Medical Services LLC, a 9-clinician group. Licensed in Georgia and Tennessee.

Years since qualifying
11
Licensed in
GA, TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Coleman Ave
Macon, GA 31207-0001
Phone: (478) 301-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 72978 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 076754 (GA)

Record details

NPI number1962750323
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 16, 2012
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southland Tn Emergency Medical Services Llc — 9 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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