Individual provider Active NPI

Sebastien Gabriel Demoiny, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Morristown, TN
National Provider Identifier
1043472269
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
703 Issued in TN
Practice address
420 W Morris Blvd
Suite 400D
Morristown, TN 37813-2283
Phone
(423) 586-7509
Fax
(423) 581-5701
NPI assigned
Jun 29, 2008
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 703 TN
Foot & Ankle Surgery Podiatrist 213ES0103X SC005923 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 703 TN Primary

Addresses

Primary practice location

420 W Morris Blvd
Suite 400D
Morristown, TN 37813-2283

Mailing address

420 W Morris Blvd
Suite 400D
Morristown, TN 37813-2283
Phone (423) 586-7509

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sebastien.demoiny.1@3525.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000553 TN Practitioner - Podiatry 1658563721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

334 Hwy 92 S
Suite 6
Dandridge, TN 37725-4578
Phone (865) 344-8200

420 W Morris Blvd
Morristown, TN 37813-2282

420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545

657 E Broadway Blvd
Suite a
Jefferson City, TN 37760-4949
Phone (865) 475-9062

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue83
Removal of skin lesions1-10
Removal of nail tissue597
Removal or shaving of skin growth230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SC005923PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince Aug 16, 2010 Accepting new patients
Healthstar Physicians PC CurrentSince Aug 16, 2010 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients
Healthstar Physicians PC Foot & Ankle Surgery PastSince Nov 24, 2025 Accepting new patients

Locations

150 W Price Rd
Dandridge, TN 37725
Phone (865) 475-6161

334 Highway 92 S
Ste 6
Dandridge, TN 37725
Phone (865) 344-8200

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

420 W Morris Blvd
Ste 400D
Morristown, TN 37813
Phone (423) 586-7509

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

Interoperability endpoints

  • Direct secure messaging: sebastien.demoiny.1@3525.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1043472269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "SUITE 400D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-586-7509",
            "fax_number": "423-581-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "SUITE 400D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-586-7509",
            "fax_number": "423-581-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOINY",
        "first_name": "SEBASTIEN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "703",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005923",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sebastien.demoiny.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "420 W Morris Blvd",
            "address_2": "Suite 400D",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.