Active NPI
Robert Coble, MD
- Emergency Medicine Physician
- Waynesboro, TN
National Provider Identifier
1477594455
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 19, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD9562
- Practice address
- 103 JV Mangubat Dr
Waynesboro, TN 38485-2440 - Phone
- (904) 805-1300
- Fax
- (904) 805-1302
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD9562 | TN | Primary |
Addresses
Primary practice location
103 JV Mangubat Dr
Waynesboro, TN 38485-2440
Mailing address
PO Box 534114
Atlanta, GA 30353-4114
Phone (904) 805-1300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3161261 | Other | TN | MISSISSIPPI BLUE CROSS |
| 3161261 | Medicaid | TN | |
| 4083496 | Other | TN | BLUE CROSS |
| P00158850 | Other | TN | RAILROAD MEDICARE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD9562 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette Medical Center | Past | Accepting new patients | |
| Southern Radiology Associates, PLLC | Past | Accepting new patients | |
| Waynesboro Emergency Services II, LLC | Emergency Medicine | Past | Accepting new patients |
| Maury Regional Hospital | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Waynesboro, TN
- NPI 1811927544
-
- Diagnostic Radiology Physician
- Columbia, TN
- NPI 1467460725
-
- Emergency Medicine Physician
- Waynesboro, TN
- NPI 1013965516
Emergency Medicine
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477594455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 534114",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303534114",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 JV MANGUBAT DR",
"city": "WAYNESBORO",
"state": "TN",
"postal_code": "384852440",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBLE",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD9562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI BLUE CROSS",
"identifier": "3161261",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3161261",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4083496",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00158850",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.