Individual provider Active NPI

Joseph M Stotts

  • Clinical Social Worker
  • Morrison, TN
National Provider Identifier
1124224159
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5919 Issued in TN
Practice address
5736 Manchester Hwy.
Morrison, TN 37357
Phone
(931) 815-3871
Fax
(931) 815-3876
NPI assigned
Jun 26, 2007
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7915 TN
Clinical Social Worker 1041C0700X 5919 TN Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

5736 Manchester Hwy.
Morrison, TN 37357

Mailing address

5736 Manchester Hwy.
Morrison, TN 37357
Phone (931) 815-3871

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151113000051 TN Practitioner - Clinical Social Worker 5799095287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5736 Manchester Hwy
Morrison, TN 37357-7503
Phone (931) 815-3871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Health Association, Inc. CurrentSince Aug 28, 2015 Accepting new patients

Locations

5736 Manchester Hwy
Morrison, TN 37357
Phone (931) 815-3871

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1124224159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 MANCHESTER HWY.",
            "city": "MORRISON",
            "state": "TN",
            "postal_code": "37357",
            "telephone_number": "931-815-3871",
            "fax_number": "931-815-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 MANCHESTER HWY.",
            "city": "MORRISON",
            "state": "TN",
            "postal_code": "37357",
            "telephone_number": "931-815-3871",
            "fax_number": "931-815-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTTS",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "7915",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5919",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, TN

Sources for this page

Verify at the official NPI Registry.