NPIMap

Individual provider Active NPI

Tamberly L McCoy, M.D.,PLLC

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1386739464
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34958 Issued in KY
Practice address
2816 Veach Rd Ste 308
Owensboro, KY 42303-6297
Phone
(270) 926-1150
Fax
(270) 926-2796
NPI assigned
Oct 4, 2006
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011631 KY
Family Medicine Physician 207Q00000X 34958 KY Primary

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) 926-1190

Other identifiers 4

IdentifierTypeStateIssuer
18D1027616OtherKYCLIA
000000321562OtherKYANTHEM
34958OtherKYKY LICENSE
64349582MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000874 KY Practitioner - Family Practice 2567358062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Tamberly McCoy, M.D.,PLLCGroup PAC ID 9830183664, 2 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-2000

2315 Mayfair Dr
Suite 3
Owensboro, KY 42301-4557
Phone (270) 926-1150

2420 W 3Rd St
Owensboro, KY 42301-0328
Phone (270) 685-3141

2601 New Hartford Rd
Owensboro, KY 42303-1316
Phone (270) 926-1150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3011631KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC Multi-Specialty CurrentSince Oct 9, 2023 Accepting new patients
Tamberly McCoy, M.D. PLLC Multi-Specialty CurrentSince Mar 1, 2004 Accepting new patients
Owensboro Health Inc Past Accepting new patients
Twin Rivers Operating Company LLC Past Accepting new patients
Wellington Parc Health Systems, Inc. Past Accepting new patients
Hendersons Minor Outpatient Medicine, LLC Multi-Specialty PastSince Apr 8, 1997 Accepting new patients

Locations

3300 Tates Creek Rd
Lexington, KY 40502
Phone (859) 226-2126

2601 New Hartford Rd
Owensboro, KY 42303
Phone (270) 313-5395

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

2885 New Hartford Rd
Owensboro, KY 42303
Phone (270) 685-2374

Interoperability endpoints

  • Direct secure messaging: tmccoy9399@direct.owensborohealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1386739464",
    "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": "270-926-1190",
            "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": {
        "last_name": "MCCOY",
        "first_name": "TAMBERLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.,PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011631",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "18D1027616",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000321562",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "34958",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64349582",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.