Organization Active NPI

Mountain View Medical Moonlight PLLC

  • Family Medicine Physician
  • Woodbury, TN
National Provider Identifier
1104783752
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNTAIN VIEW MEDICAL MOONLIGHT PLLC
Practice address
370 Doolittle Rd Ste 1
Woodbury, TN 37190-1129
Phone
(615) 603-7445
NPI assigned
Jan 6, 2026
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Lori Carver
Title
Manager
Phone
(615) 603-7445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

370 Doolittle Rd Ste 1
Woodbury, TN 37190-1129

Mailing address

370 Doolittle Rd Ste 1
Woodbury, TN 37190-1129
Phone (615) 603-7445

National Provider Directory

National Provider Directory

Locations

370 Doolittle Rd
Ste 1
Woodbury, TN 37190
Phone (615) 563-3245

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1104783752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 DOOLITTLE RD STE 1",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901129",
            "telephone_number": "615-603-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DOOLITTLE RD STE 1",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901129",
            "telephone_number": "615-603-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW MEDICAL MOONLIGHT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-603-7445"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.