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

Mr. Derrick Theodric McCoy Jr.

Individual provider Registered Nurse · NPI 1174498463

Mr. Derrick Theodric McCoy Jr. is a Registered Nurse in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

2825 NE Expy NE
Atlanta, GA 30345-4206
Phone: (678) 814-8070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN304777 (GA)

Record details

NPI number1174498463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

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