Randolph Forbes Wykoff · Randy Wykoff · Pediatrics Physician

206 Lake Meadow Dr, Johnson City, TN 37615-4015

Overview

Randolph Forbes Wykoff is a Pediatrics Physician practicing in Johnson City, Tennessee. The National Provider Identifier (NPI) is #1477492874, which was assigned on March 28, 2026, and the registration record was last updated on March 28, 2026. The practitioner's main practice location is at 206 Lake Meadow Dr, Johnson City, TN 37615-4015; the contact telephone number is 4234266539. The primary taxonomy of Randolph Forbes Wykoff is Pediatrics Physician (208000000X). Randolph Forbes Wykoff is licensed to practice in the state of Tennessee (#41866).

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Provider Information

NPI 1477492874
Entity Type Individual
Provider Name RANDOLPH FORBES WYKOFF
Other Name RANDY WYKOFF
(Professional Name)
Gender Male
Credential MD, MPH&TM
Other Credential MD, MPH&TM
Practice Address 206 Lake Meadow Dr
Johnson City
TN 37615-4015
Practice Telephone 4234266539
Mailing Address 206 Lake Meadow Dr
Johnson City
TN 37615-4015
Mailing Telephone 4234266539
Certification Date 2026-03-28
Enumeration Date 2026-03-28
Last Update Date 2026-03-28
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208000000XPediatrics41866TN

Taxonomy Information

Primary Taxonomy

Code 208000000X
Taxonomy Pediatrics Physician
Classification Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Karessa James 1009 Dunham St Se, Grand Rapids, MI 49506-2658Pediatrics Physician2026-04-10
Novus Pediatrics LLC 2603 Newby Rd Sw, Huntsville, AL 35805-4222Pediatrics Physician2026-03-26
Twilight Pediatric Medicine 440 Asbury Rd, Freeville, NY 13068-9740Pediatrics Physician2026-03-31
Kayla Elizabeth Grooters 1000 Oakland Dr, Kalamazoo, MI 49008-1282Pediatrics Physician2026-04-08
Anari Medical Corp 107 N Maclay Ave, San Fernando, CA 91340-2906Pediatrics Physician2026-03-27
Doctormarco Pediatrics 1402 E Nolana Loop Ste A, Pharr, TX 78577-0100Pediatrics Physician2026-03-30
Stonewall Pediatric Health Center, LLC 1303 S. Unversity Dr, Nacogdoches, TX 75961Pediatrics Physician2026-04-09
Sania Wilkins Do,Pc 64 Jamaica Ave, Plainview, NY 11803-3633Pediatrics Physician2026-03-31
Health Services, Inc. 4425 Brewbaker Driive, Rm 1, Montgomery, AL 36116Pediatrics Physician2026-03-31
Emerald Home Health LLC 8301 White Pine Dr, Fort Worth, TX 76123-1702Pediatrics Physician2026-03-26
Find all providers with the same taxonomy

Location Information

Street Address 206 LAKE MEADOW DR
City JOHNSON CITY
State TN
Zip Code 37615-4015
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lauren Sineath Rd Ldn 7 Periwinkle Ct, Johnson City, TN 37615-4474Registered Dietitian2026-03-16
Kali Marie Holt 105 Klm Dr Ste 14, Johnson City, TN 37615-3693Family Nurse Practitioner2026-01-14
William Machenzie Rasnick 208 Suncrest St Unit 1, Gray, TN 37615-3494Pharmacist2025-07-16
Leigh A Furman 229 Rockingham Rd, Gray, TN 37615-2958Occupational Therapist2009-04-01
Hannah Thigpen Brown · Hannah Dawn Thigpen 2056 Highland Falls Ct, Johnson City, TN 37615-4585Physician Assistant2025-05-13
Jill Metcalf 143 Laurel Cyn, Johnson City, TN 37615-4490Speech-Language Pathologist2011-11-03
Ellie Wolf 1018 Quality Cir, Johnson City, TN 37615-4671Chiropractor2023-04-11
Diana Katherine Ramirez 1627 Old Gray Station Rd Ste 30, Johnson City, TN 37615-4194Physician Assistant2021-07-20
Eva Marie Jessee 105 Klm Dr Ste 14, Johnson City, TN 37615-3693Family Nurse Practitioner2026-01-08
Twisted Roots Healthcare 105 Klm Dr Ste 14, Johnson City, TN 37615-3693Urgent Care Clinic/Center2026-01-16
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Randolph F Lopez · Randy Lopez 1847 Andross Ave, Yuba City, CA 95993-9287Registered Nurse2026-04-09
Michele M Forbes 207 W Dominick St, Rome, NY 13440-5811Social Worker2025-08-20
Linsay Wykoff 300 W Washington Ave Ste 210b, Jackson, MI 49201-2160Counselor2023-02-20
Robert D Forbes 1095 N Hills Blvd Ste B, Reno, NV 89506-8691Optometrist2006-09-02
Ireland Forbes 8025 Grand Ave, West Des Moines, IA 50266-5360Student in an Organized Health Care Education/Training Program2026-03-02
Peggy Marriott Forbes · Pam Forbes 1115 Upper Hembree Rd, Suite B, Roswell, GA 30076-0913Psychiatry Physician2007-02-20
Monica Mary Forbes-Amrhein 1633 N Capitol Ave, Mt Suite 640, Indianapolis, IN 46202-1261Pediatric Radiology Physician2011-07-10
Shari Forbes N81w6701 Fair St, Cedarburg, WI 53012-1107Clinical Social Worker2006-06-08
Jennifer Forbes 1310 Westloop Pl, Ste A Pmb 331, Manhattan, KS 66502Mental Health Counselor2012-04-20
Emily Forbes 4802 10th Ave, Brooklyn, NY 11219-2916Student in an Organized Health Care Education/Training Program2026-04-02

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.