Active NPI
John Timothy Coombs Jr.
- Home Modifications Contractor
- Maryville, TN
National Provider Identifier
1336037571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 0492001
- Practice address
- 127 Firewood LN
Maryville, TN 37803-7301 - Phone
- (865) 213-2739
- NPI assigned
- Jun 26, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 0492001 | TN | Primary |
Addresses
Primary practice location
127 Firewood LN
Maryville, TN 37803-7301
Mailing address
127 Firewood LN
Maryville, TN 37803-7301
Phone (865) 258-2902
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0492001 | TN | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1336037571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 FIREWOOD LN",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378037301",
"telephone_number": "865-258-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 FIREWOOD LN",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378037301",
"telephone_number": "865-213-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOMBS",
"first_name": "JOHN",
"middle_name": "TIMOTHY",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "TN",
"license": "0492001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.