# MCCOY MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568179612
- **Authorized official:** DEREK A MCCOY M.D. (PRESIDENT)
- **Authorized official phone:** (443) 377-8264

## Contact information

- **Practice address:** 4C NORTH AVE STE 405, BEL AIR, MD 21014-2333
- **Practice address phone:** (443) 377-8624
- **Mailing address:** PO BOX 671, BEL AIR, MD 21014-0671
- **Mailing address phone:** (443) 377-8264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2022
- **Last updated:** 11/25/2025