Individual provider Active NPI

John O Newcomb, M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1992717110
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12815 Issued in AL
Practice address
115 Harper Court
Tuscaloosa, AL 35401-1250
Phone
(205) 366-3010
Fax
(205) 366-3012
NPI assigned
Aug 13, 2006
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12815 AL Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220001046 AL Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 1759276314 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12815ALMDFamily Medicine Physician
12015ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alabama Dept of Finance CurrentSince Jan 17, 2024 Accepting new patients
State of Alabama Dept of Finace CurrentSince Jan 17, 2024 Accepting new patients
State of Alabama Dept of Mental Health & Mental Retardation Current Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

115 Harper Ct
Tuscaloosa, AL 35401
Phone (205) 366-3010

Organizations & group practices 4

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1992717110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21231",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354021250",
            "telephone_number": "205-366-3010",
            "fax_number": "205-366-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HARPER COURT",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011250",
            "telephone_number": "205-366-3010",
            "fax_number": "205-366-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "JOHN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12815",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "12815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.