Organization Active NPI

Randy G McComb, MD, PC

  • Emergency Medicine Physician
  • Cordova, TN
National Provider Identifier
1003959305
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000023564 Issued in TN
Legal business name
RANDY G MCCOMB, MD, PC
Practice address
151 Forest Hill Irene Rd S
Cordova, TN 38018-4824
Phone
(901) 737-5720
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randy G McComb, MDNPI 1255333233
Title
President
Phone
(901) 737-5720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X MD0000023564 TN Primary

Addresses

Primary practice location

151 Forest Hill Irene Rd S
Cordova, TN 38018-4824

Mailing address

151 Forest Hill Irene Rd S
Cordova, TN 38018-4824
Phone (901) 737-5720

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1003959305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 FOREST HILL IRENE RD S",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184824",
            "telephone_number": "901-737-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FOREST HILL IRENE RD S",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184824",
            "telephone_number": "901-737-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY G MCCOMB, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "MCCOMB",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-737-5720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000023564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.