Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody Lance McCoy, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1710625975

Cody Lance McCoy, AGACNP is a Nurse Practitioner in Longview, Texas. Qualified in 2022, 4 years ago. Practices with Regional Clinics of Longview, a 38-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

707 Hollybrook Dr Ste 200
Longview, TX 75605-2410
Phone: (903) 291-6191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1079757 (TX)

Record details

NPI number1710625975
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Regional Clinics Of Longview — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Longview