NPIMap

Individual provider Active NPI

Keith Alden Mosher Jr., MD

  • Family Medicine Physician
  • Milan, TN
National Provider Identifier
1043366735
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24751 Issued in TN
Practice address
15001 S 1St St
Milan, TN 38358-5132
Phone
(731) 613-2535
Fax
(731) 613-2534
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24751 TN
Family Medicine Physician 207Q00000X 24751 TN Primary

Addresses

Primary practice location

15001 S 1St St
Milan, TN 38358-5132

Mailing address

15001 S 1St St
Milan, TN 38358-5132
Phone (731) 613-2535

Other identifiers 1

IdentifierTypeStateIssuer
3078643MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000919 TN Practitioner - Family PracticePractitioner - Emergency Medicine 8325941388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Quality Care PLLCGroup PAC ID 4385728518, 7 clinicians

Practice addresses (Care Compare)

15463 S 1St St
Milan, TN 38358-6475
Phone (731) 984-8400

Hospital & facility affiliations

  • Medical Center Home Health LLC Home health agency, Jackson, TN, CCN 447101
  • NHC Homecare Milan Home health agency, Milan, TN, CCN 447152
  • West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24751TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Family Care Walk in Clinic, Inc. Family Medicine CurrentSince Jul 14, 2026 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Memphis Emergency Room Group, PLLC Emergency Medicine Past Accepting new patients
Somerville Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

15001 S 1st St
Milan, TN 38358
Phone (731) 613-2535

400 US Highway 45 W
Three Way, TN 38343
Phone (731) 784-7771

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1043366735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 S 1ST ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585132",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 S 1ST ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585132",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "KEITH",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "24751",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "24751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078643",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

Verify at the official NPI Registry.