Individual provider Active NPI

Derek F Norcom, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1326087263
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43670 Issued in OK
Practice address
7313 S Western Ave
Oklahoma City, OK 73139-2007
Phone
(405) 251-8884
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD21044 OR
Family Medicine Physician 207Q00000X 67415 TN
Family Medicine Physician 207Q00000X 43670 OK Primary

Addresses

Primary practice location

7313 S Western Ave
Oklahoma City, OK 73139-2007

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (629) 224-1621

Other practice location 1

3904 Gallatin Pike
Nashville, TN 37216-2406
Phone (615) 227-3000

Other practice location 2

601 W Due West Ave
Madison, TN 37115-4423
Phone (615) 227-3000

Other identifiers 1

IdentifierTypeStateIssuer
151180MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230417000571 TN Practitioner - Family Practice 3375586860
I20241107001451 OK Practitioner - Family Practice 3375586860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21044ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Oklahoma, LLC CurrentSince Nov 1, 2024 Accepting new patients
NGX Lawrenceville Ga PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

1470 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (678) 486-7777

7313 S Western Ave
Oklahoma City, OK 73139
Phone (405) 251-8884

3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: derek.norcommd.p1@direct.neighborhoodhealthtn.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1326087263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "629-224-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392007",
            "telephone_number": "405-251-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3904 Gallatin Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372162406",
            "country_code": "US",
            "telephone_number": "615-227-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W Due West Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371154423",
            "country_code": "US",
            "telephone_number": "615-227-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORCOM",
        "first_name": "DEREK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD21044",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "67415",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "43670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151180",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.