Active NPI
Tamberly McCoy, M.D. PLLC
- Family Medicine Physician
- Owensboro, KY
National Provider Identifier
1093914392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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.,PLLC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB6058 | Other | KY | RAILROAD MEDICARE |
| 000000321559 | Other | KY | ANTHEM BCBS |
| 65946071 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Owensboro, KY
- NPI 1326564048
-
- Family Nurse Practitioner
- Whitesville, KY
- NPI 1598720625
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1588744346
-
- Anesthesiology Physician
- Owensboro, KY
- NPI 1225119118
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.