Look up the most recent NPI and PECOS records

James Mccoy

Family Medicine

Allopathic & Osteopathic Physicians

105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3256

(276) 386-5980 (423) 857-2066

PECOS Enrollment

Based on the most recent information from CMS, provider James Mccoy does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124021407
Provider Type
Individual
Full Name
Mccoy, James
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/31/2005
Last Updated
9/22/2009

Contact Information

Practice Location

105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3256

(276) 386-5980

(276) 386-9387

Mailing Location

PO Box 9, Kingsport, TN 37662-0009

(423) 857-2066

(423) 857-2070

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD 11894 Tennessee
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101028967 Virginia

Provider Identifiers

ID	Description	Issuer
ID 3173560	Description Medicaid	Issuer Unlisted Tennessee
ID 5622255	Description Medicaid	Issuer Unlisted Virginia

James Mccoy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Harris, Erin Elizabeth

Akins, Megan Teresa

Casey, Gary Q

Holston Medical Group Pc

Long, Robyn Ashley

Peters-Diamond, Jennifer Carlita

Perethian, Kiley Morgan

Hubbs, Emily

Brummel, Mark

Crawford, Amylyn Lane