DR. STEPHEN P COMBS MD
NPI 1144290552
Pediatrics - Adolescent Medicine in Gray, TN

NPI Status: Active since January 26, 2006

Contact Information

115 JUDGE GRESHAM RD
SUITE B
GRAY, TN
ZIP 37615
Phone: (423) 477-2885
Fax: (423) 477-0113

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  • Individual
  • Male
  • Pediatrics
  • Adolescent Medicine
  • Accepts Insurance
  • PECOS Enrolled

About STEPHEN COMBS

This page provides the complete NPI Profile along with additional information for Stephen Combs, a pediatrician established in Gray, Tennessee with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1144290552 assigned on January 2006. The practitioner's primary taxonomy code is 2080A0000X with license number 26795 (TN). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1144290552
Provider Name
DR. STEPHEN P COMBS MD
Gender
Male
Entity Type
Individual
Location Address
115 JUDGE GRESHAM RD SUITE B GRAY, TN 37615
Location Phone
(423) 477-2885
Location Fax
(423) 477-0113
Mailing Address
509 MED TECH PKWY STE 100 JOHNSON CITY, TN 37604
Mailing Phone
(423) 302-6565
Mailing Fax
(423) 477-0113
Is Sole Proprietor?
No
Enumeration Date
01-26-2006
Last Update Date
05-24-2022
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A pediatrician like Stephen Combs is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
26795
License State
TN
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

26795 (TN)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

0101259182 (VA)
32080A0000XAllopathic & Osteopathic Physicians

Pediatrics
Adolescent Medicine

0101259182 (VA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3095016MEDICAID (05)VA 

Medicare Participation & PECOS Enrollment Status

Stephen Combs is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

This service was performed 49 times for 47 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 527 times for 501 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

This service was performed 40 times for 39 patients

Reviews for DR. STEPHEN P COMBS MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144290552, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 4 + 9 + 0 + 5 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1144290552.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
115 JUDGE GRESHAM RD, SUITE B
GRAY, TN 37615
Nurse Practitioner
115 JUDGE GRESHAM RD, SUITE B
GRAY, TN 37615
Nurse Practitioner (Family)
115 JUDGE GRESHAM RD, SUITE B
GRAY, TN 37615
Clinic/Center (Urgent Care)
115 JUDGE GRESHAM RD, SUITE A
GRAY, TN 37615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144290552, enumerated as an "individual" on January 26, 2006.

The provider is located at 115 JUDGE GRESHAM RD SUITE B GRAY, TN 37615 and the phone number is (423) 477-2885.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.