Active NPI
Clara Cobb, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Kingston, TN
National Provider Identifier
1821138397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD18478
- Practice address
- 227 Arrowhead TRL
Kingston, TN 37763-7003 - Phone
- (865) 376-4205
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD18478 | TN | Primary |
| Specialist | 174400000X |
Addresses
Primary practice location
227 Arrowhead TRL
Kingston, TN 37763-7003
Mailing address
227 Arrowhead TRL
Kingston, TN 37763-7003
Phone (865) 376-4205
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7525265 | Other | TN | CIGNA |
| 134107 | Other | TN | BLACK LUNG |
| 1520556 | Other | TN | UNITED MINE WORKERS |
| 220019758 | Other | TN | RR MEDICARE |
| 76828 | Other | TN | PHP CARITEN |
| 62159 | Other | TN | SIGNATURE HEALTH ALLIANCE |
| 62-1658-77 | Other | TN | TAX ID# |
| 100021685 | Other | TN | PHP TENNCARE |
| 3048821 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| HEALTHSOURCE | Other | TN | 014F17649 |
| MD18478 | Other | TN | MEDICAL LICENSE # |
| 621658077 | Other | TN | CHAMPUS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18478 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1821138397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 ARROWHEAD TRL",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377637003",
"telephone_number": "865-376-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 ARROWHEAD TRL",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377637003",
"telephone_number": "865-376-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "CLARA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "MD18478",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7525265",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "134107",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "1520556",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "220019758",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP CARITEN",
"identifier": "76828",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIGNATURE HEALTH ALLIANCE",
"identifier": "62159",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "62-1658-77",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENNCARE",
"identifier": "100021685",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "3048821",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "014F17649",
"identifier": "HEALTHSOURCE",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "MD18478",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "621658077",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.