Organization Active NPI

Healthy Minds of Appalachia

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1073403929
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALTHY MINDS OF APPALACHIA
Practice address
722 Janes Rd
Maryville, TN 37801-1729
Phone
(865) 770-0183
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Tracy Payne, FNP-C, PMHNP-BCNPI 1356836472
Title
Nurse Practitioner, Aprn
Phone
(865) 307-1628

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

722 Janes Rd
Maryville, TN 37801-1729

Mailing address

722 Janes Rd
Maryville, TN 37801-1729
Phone (865) 770-0183

Other practice location 1

722 Janes Rd
Maryville, TN 37801-1729
Phone (865) 770-0183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316002054 TN Part B Supplier - Clinic/Group Practice 3678056835 Receives reassigned benefits from 1 practitioner
Practice locations: Maryville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1073403929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 JANES RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378011729",
            "telephone_number": "865-770-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 JANES RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378011729",
            "telephone_number": "865-770-0183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Janes Rd",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378011729",
            "country_code": "US",
            "telephone_number": "865-770-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY MINDS OF APPALACHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, APRN",
        "authorized_official_telephone_number": "865-307-1628",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.