Organization Active NPI

Tamberly McCoy, M.D. PLLC

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1093914392
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TAMBERLY MCCOY, M.D. PLLC
Practice address
2816 Veach Rd Ste 308
Owensboro, KY 42303-6297
Phone
(270) 926-1150
Fax
(270) 926-2796
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Dr. Tamberly L McCoy, M.D.,PLLCNPI 1386739464
Title
Dr
Phone
(270) 926-1150

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2816 Veach Rd Ste 308
Owensboro, KY 42303-6297

Mailing address

2816 Veach Rd Ste 308
Owensboro, KY 42303-6297
Phone (270) 926-1150

Other identifiers 3

IdentifierTypeStateIssuer
DB6058OtherKYRAILROAD MEDICARE
000000321559OtherKYANTHEM BCBS
65946071MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001565 KY Part B Supplier - Clinic/Group Practice 9830183664 Receives reassigned benefits from 2 practitioners
Practice locations: Owensboro, KY; Calhoun, KY

National Provider Directory

National Provider Directory

Locations

2501 Old Hartford Rd
Owensboro, KY 42303
Phone (270) 683-0227

Practitioners & affiliated clinicians

Practitioners 5

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": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1093914392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 VEACH RD STE 308",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036297",
            "telephone_number": "270-926-1150",
            "fax_number": "270-926-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 VEACH RD STE 308",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036297",
            "telephone_number": "270-926-1150",
            "fax_number": "270-926-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMBERLY MCCOY, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "TAMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "270-926-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,PLLC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6058",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000321559",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65946071",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.