John O Newcomb, M.D.
Individual provider Active NPI Family Medicine Physician · Tuscaloosa, AL
NPI 1992717110 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1992717110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12815 (AL)
- Practice address
- 115 Harper Court
Tuscaloosa, AL 35401-1250 - Phone
- (205) 366-3010
- Fax
- (205) 366-3012
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040220001046 | AL | Practitioner - General Practice |
1759276314 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12815 | AL | MD | Emergency Medicine Physician |
| 12015 | AL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Alabama Dept of Mental Health & Mental Retardation | Current | Accepting new patients | |
| State of Alabama Dept of Finance | Current |
Accepting new patients | |
| State of Alabama Dept of Finace | Current |
Accepting new patients | |
| Relias Emergency Medicine Specialists of Northport, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500
115 Harper Ct
Tuscaloosa, AL 35401
Phone (205) 366-3010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12815 | AL | Yes |
| Emergency Medicine Physician | 207P00000X | 12815 | AL |
Addresses
Primary practice location
115 Harper Court
Tuscaloosa, AL 35401-1250
Mailing address
PO Box 21231
Tuscaloosa, AL 35402-1250
Phone (205) 366-3010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051519117NEW | Other | AL | BLUECROSSBLUESHIELD OF AL |
| 051081498NEW | Other | AL | BLUECROSSBLUESHIELD OF AL |
| 930126722 | Other | AL | MEDICARE RAILROAD |
| 009953610 | Medicaid | AL |
Other providers in Tuscaloosa, AL
- New Leaf Child and Family Therapy LLC
- New Options, CRP, LLC
- New Perspectives Counseling & Consulting, LLC
- New Vision Counseling
- New Women'S Health Center, LLC
- Amanda Newell
- Darah Lea Newell
- Jason M Newell
- Melissa Newell
- Barry Douglas Newsom
All providers in Tuscaloosa, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.