Active NPI
Mosheim Recovery Associates
- Family Medicine Physician
- Mosheim, TN
National Provider Identifier
1003562372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOSHEIM RECOVERY ASSOCIATES
- Practice address
- 65 Payne Rd
Mosheim, TN 37818-3206 - Phone
- (423) 422-2126
- Fax
- (423) 422-2136
- NPI assigned
- Feb 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Yost, MD
- Title
- Ceo
- Phone
- (423) 422-2126
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
65 Payne Rd
Mosheim, TN 37818-3206
Mailing address
65 Payne Rd
Mosheim, TN 37818-3206
Phone (423) 422-2126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
65 Payne Rd
Mosheim, TN 37818
Phone (423) 422-2126
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Mosheim, TN
- NPI 1003858796
-
- Family Medicine Physician
- Rogersville, TN
- NPI 1558562850
-
- Addiction Medicine (Family Medicine) Physician
- Mosheim, TN
- NPI 1396773669
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1295779148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645747200000",
"number": "1003562372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PAYNE RD",
"city": "MOSHEIM",
"state": "TN",
"postal_code": "378183206",
"telephone_number": "423-422-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PAYNE RD",
"city": "MOSHEIM",
"state": "TN",
"postal_code": "378183206",
"telephone_number": "423-422-2126",
"fax_number": "423-422-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSHEIM RECOVERY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-25",
"last_updated": "2022-02-25",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "YOST",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "423-422-2126",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mosheim, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.