Randolph Forbes Wykoff, MD, MPH&TM

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41866 Issued in TN

Practice address

206 Lake Meadow Dr
Johnson City, TN 37615-4015

Phone

(423) 426-6539

NPI assigned

Mar 28, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Randy Wykoff Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1477492874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LAKE MEADOW DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154015",
            "telephone_number": "423-426-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LAKE MEADOW DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154015",
            "telephone_number": "423-426-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYKOFF",
        "first_name": "RANDOLPH",
        "middle_name": "FORBES",
        "credential": "MD, MPH&TM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "41866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "WYKOFF",
            "credential": "MD, MPH&TM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Rene Wyatt, M.S., BCBA, LBA
• Lauren Todt Wyatt, CRNP
• Wyche & Wyche, M.D., P.C.
• Donna Lee Wyche, MD
• Kathleen Wykoff
• Ethan Wymer, RBT
• Tiffany L Yandell, NP
• Zhi Qiang Yao, MD
• John Benjamin Yarger, M.D.
• Mary Leoma Yarling, LCSW

• Pediatrics Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.