Individual provider Active NPI

Millicent Danielle Combs, APN

  • Family Nurse Practitioner
  • Elizabethton, TN
National Provider Identifier
1508649849
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34336 Issued in TN
Practice address
1500 W Elk Ave
Elizabethton, TN 37643-2654
Phone
(423) 431-0509
Fax
(423) 722-2060
NPI assigned
Aug 18, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34336 TN Primary

Addresses

Primary practice location

1500 W Elk Ave
Elizabethton, TN 37643-2654

Mailing address

1500 W Elk Ave
Elizabethton, TN 37643-2654
Phone (423) 431-0509

Other practice location 1

401 E Main St
Johnson City, TN 37601-4877
Phone (423) 929-2584

Other practice location 2

437 Highway 321
Hampton, TN 37658-3303
Phone (423) 543-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918001298 TN Practitioner - Nurse Practitioner 7315301819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
86.98
Promoting interoperability
92
Improvement activities
40
Cost
80.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34336TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care PLLC CurrentSince Aug 21, 2023 Accepting new patients

Locations

437 Highway 321
Hampton, TN 37658
Phone (423) 543-2584

401 E Main St
Johnson City, TN 37601
Phone (423) 722-2062

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1508649849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432654",
            "telephone_number": "423-431-0509",
            "fax_number": "423-722-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432654",
            "telephone_number": "423-431-0509",
            "fax_number": "423-722-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Main St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376014877",
            "country_code": "US",
            "telephone_number": "423-929-2584",
            "fax_number": "423-722-2060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "437 Highway 321",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "TN",
            "postal_code": "376583303",
            "country_code": "US",
            "telephone_number": "423-543-2584",
            "fax_number": "423-722-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMBS",
        "first_name": "MILLICENT",
        "middle_name": "DANIELLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.