Thomas J Mabry & Associates, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0000000136 Issued in TN

Legal business name

THOMAS J MABRY & ASSOCIATES, INC.

Doing business as

Mabry Health Care & Rehab Center

Practice address

1340 N Grundy Quarles Hwy
Gainesboro, TN 38562

Phone

(931) 268-0291

Fax

(931) 268-9241

NPI assigned

Apr 6, 2007

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Reich

Title

Cfo

Phone

(931) 268-0291

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mabry Health Care & Rehab Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Regen Hill, MD

  • Family Medicine Physician
  • Gordonsville, TN
  • NPI 1619945292
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1114040292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "address_2": "1340 N GRUNDY QUARLES HIGHWAY",
            "city": "GAINESBORO",
            "state": "TN",
            "postal_code": "38562",
            "telephone_number": "931-268-0291",
            "fax_number": "931-268-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N GRUNDY QUARLES HWY",
            "city": "GAINESBORO",
            "state": "TN",
            "postal_code": "38562",
            "telephone_number": "931-268-0291",
            "fax_number": "931-268-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J MABRY & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-268-0291"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000136",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445272",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440362",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mabry Health Care & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mabry Health Care & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margie A Stafford, NP
• State of Tennessee (Jackson County Health Department)
• Erin Kate Stooksbury
• The Grove Family Wellness LLC
• Thomas J Mabry & Associates (Mabry Assisted Living)
• Upper Cumberland Rural Health Clinic PLLC (Cookeville Medical Clinic Gainesboro RHC)
• Crystal Ward, L.M.T
• Waters of Gainesboro Assisted Living Facility
• Waters of Gainesboro LLC
• Jenna Rae Watson-Duncan, PMHNP

• Nursing Facility/Intermediate Care Facility in Gainesboro, TN
• Providers in Gainesboro, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.