Active NPI
Daphne Maples McColl, MD
- Pediatrics Physician
- Oak Ridge, TN
National Provider Identifier
1942226378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33923
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q003897 | Medicaid | TN | |
| 64054869 | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33923 | TN | MD | Pediatrics 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.