Individual provider Active NPI

Daphne Maples McColl, MD

  • Pediatrics Physician
  • Oak Ridge, TN
National Provider Identifier
1942226378
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33923 Issued in TN
Practice address
145 East Vance Rd
Oak Ridge, TN 37830
Phone
(865) 482-4088
Fax
(865) 481-0329
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 33923 TN Primary

Addresses

Primary practice location

145 East Vance Rd
Oak Ridge, TN 37830

Mailing address

P.O. Box 15004
Knoxville, TN 37901
Phone (865) 522-9730

Other practice location 1

2221 Jacksboro Pike Ste C4
LA Follette, TN 37766-3007
Phone (423) 566-3488

Other practice location 2

7733 Oak Ridge Hwy
Knoxville, TN 37931-3343
Phone (865) 470-2560

Other practice location 3

10857 Hardin Valley Rd
Knoxville, TN 37932-1410
Phone (865) 690-2682

Other practice location 4

2130 N. Charles Seivers Blvd.
Suite 4
Clinton, TN 37716-6705
Phone (865) 457-4044

Other identifiers 2

IdentifierTypeStateIssuer
Q003897MedicaidTN
64054869MedicaidKS

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33923TNMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1942226378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37901",
            "telephone_number": "865-522-9730",
            "fax_number": "865-637-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 EAST VANCE RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-482-4088",
            "fax_number": "865-481-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Jacksboro Pike Ste C4",
            "address_purpose": "LOCATION",
            "city": "LA Follette",
            "state": "TN",
            "postal_code": "377663007",
            "country_code": "US",
            "telephone_number": "423-566-3488",
            "fax_number": "866-722-3453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7733 Oak Ridge Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379313343",
            "country_code": "US",
            "telephone_number": "865-470-2560",
            "fax_number": "866-469-4963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10857 Hardin Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379321410",
            "country_code": "US",
            "telephone_number": "865-690-2682",
            "fax_number": "866-529-5509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 N. Charles Seivers Blvd.",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "TN",
            "postal_code": "377166705",
            "country_code": "US",
            "telephone_number": "865-457-4044",
            "fax_number": "866-699-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLL",
        "first_name": "DAPHNE",
        "middle_name": "MAPLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "33923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003897",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64054869",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.