Active NPI
Cody G McCoy, DO
- Nephrology Physician
- Knoxville, TN
National Provider Identifier
1043898604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 6878
- Practice address
- 320 Park 40 North Blvd
Suite
Knoxville, TN 37923-3624 - Phone
- (606) 226-2924
- Fax
- (865) 692-3463
- NPI assigned
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 20A22577 | CA | |
| Nephrology Physician | 207RN0300X | 6878 | TN | Primary |
Addresses
Primary practice location
320 Park 40 North Blvd
Suite
Knoxville, TN 37923-3624
Mailing address
320 Park 40 North Blvd
Suite
Knoxville, TN 37923-3624
Phone (606) 226-2924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A22577 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1043898604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 PARK 40 NORTH BLVD",
"address_2": "SUITE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233624",
"telephone_number": "606-226-2924",
"fax_number": "865-692-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 PARK 40 NORTH BLVD",
"address_2": "SUITE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233624",
"telephone_number": "606-226-2924",
"fax_number": "865-692-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "CODY",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-01",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "20A22577",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "6878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.