Organization Active NPI

Mosheim Recovery Associates

  • Family Medicine Physician
  • Mosheim, TN
National Provider Identifier
1003562372
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tony Yost, MDNPI 1003858796
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220325001820 TN Part B Supplier - Clinic/Group Practice 8527453620 Receives reassigned benefits from 5 practitioners
Practice locations: Mosheim, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.