MR. LARRY DEAN MCCOMB (NPI# 1679830038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679830038 |
Entity Type | Individual |
Full Name | MR. LARRY DEAN MCCOMB |
Credential | PA-C |
Practice Address |
6135 Roosevelt Hwy Warm Springs GA 31830-1000 |
Mailing Address |
349 B Street, Suite 66 Pine Mountain GA 31830 |
Practice Telephone | 7066555337 |
Practice Fax Number | 7066555299 |
Enumeration Date | 2012-04-23 |
Last Update Date | 2012-04-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 001261 | GA | Other Service Providers |
Street Address |
6135 ROOSEVELT HWY |
City | WARM SPRINGS |
State | GA |
Zip Code | 31830-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750384368 | Department of Human Services | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-1000 | 2005-05-27 |
1457919524 | Emily Nicole Reffitt | Physical Therapist | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2019-06-03 |
1952781759 | Roosevelt Warm Springs Hospitalist | Family Medicine | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2015-06-05 |
1760892657 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2014-05-01 |
1427468362 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. | Long Term Care Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2014-04-30 |
1730515875 | Carnell Durrel Roberts Jr. | Speech-Language Pathologist | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2013-09-20 |
1992056105 | Brittany Marie Hill | Occupational Therapist | 6135 Roosevelt Hwy, Warm Springs, GA 31830 | 2012-09-27 |
1801153135 | Eric Lombardo | Speech-Language Pathologist | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2012-04-11 |
1205112802 | Michelle Deleone-thomas Guttenplan | Speech-Language Pathologist | 6135 Roosevelt Hwy, Warm Springs, GA 31830-1000 | 2011-10-26 |
1750681797 | Kimberly Ann Caldwell | Physical Therapist | 6135 Roosevelt Hwy, Warm Springs, GA 31830 | 2010-10-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235567017 | Total Renal Care Inc | Clinic/Center | 4130 White House Pkwy, Warm Springs, GA 31830 | 2013-10-14 |
1780906602 | Christie C Waddell | Respiratory Therapist, Registered | 5427 Roosevelt Hwy, Warm Springs, GA 31830 | 2010-02-19 |
1467686279 | American Dental Care | Dentist | Zaragoza Y Mexico Ste 1, Puerto Palomas, CHIHUAHUA 31830 | 2009-05-07 |
1912131954 | Clinica Dental Fierro | Dentist | 5 De Mayo 406, Puerto Palomas, CHIHUAHUA 31830 | 2009-05-05 |
1679716427 | Roberto Reyes | Dentist | 5 De Mayo #406, Puerto Palomas, CHIHUAHUA 31830 | 2009-04-09 |
1528218732 | Michael Donald Tilmann | Dentist | 3741 Whitehouse Parkway, Warm Springs, GA 31830 | 2008-09-24 |
1811057706 | Sylvia Jones | Adult Companion | 3623 Whitehouse Pkwy, Warm Springs, GA 31830 | 2006-12-11 |
1942389952 | Richard Foster Buchanan | Pharmacist | 5995 Spring Street, Warm Springs, GA 31830 | 2006-11-02 |
1740366798 | James Barron Knowles | Physical Medicine & Rehabilitation | 6391 Roosevelt Highway, Warm Springs, GA 31830 | 2006-10-31 |
1033152665 | Carson Givens Pass | Physical Therapist | 6135 Roosevelt Highway, Warm Springs, GA 31830 | 2006-06-13 |
Find all providers in zip 31830 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053502419 | Kathleen Barnes Corpus | Specialist | 6135 Roosevelt Hwy, Warm Springs, GA 31830 | 2007-08-09 |
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1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
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1164056859 | Bimal R Shah Md PC | Specialist | 820 Saint Sebastian Way Ste 2a, Augusta, GA 30901-2636 | 2020-03-03 |
Find all providers with the same taxonomy |
City | WARM SPRINGS |
Zip Code | 31830 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.