NPIMap

Organization Active NPI

Healthstar Physicians, P.C.

  • Family Medicine Physician
  • Morristown, TN
National Provider Identifier
1184610248
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 17188 Issued in TN
Legal business name
HEALTHSTAR PHYSICIANS, P.C.
Practice address
420 W Morris Blvd
Ste. 400a
Morristown, TN 37813-2283
Phone
(423) 581-5925
Fax
(423) 581-2828
NPI assigned
Sep 23, 2005
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Odessa Brabson
Title
Chief Executive Officer
Phone
(423) 581-5925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 17188 TN Primary

Addresses

Primary practice location

420 W Morris Blvd
Ste. 400a
Morristown, TN 37813-2283

Mailing address

420 W Morris Blvd Ste 400a
Morristown, TN 37813-2262
Phone (423) 581-5925

Other identifiers 3

IdentifierTypeStateIssuer
3707881MedicaidTN
3980158MedicaidTN
3707888MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031203000021 TN Part B Supplier - Clinic/Group Practice 5890690978 Receives reassigned benefits from 96 practitioners
Practice locations: Morristown, TN; Crossville, TN; White Pine, TN; Newport, TN; New Market, TN; Dandridge, TN; Greeneville, TN; Jefferson City, TN…
O20100930091497 TN DME Supplier - Multi-Specialty - Physician 5890690978 Practice locations: Morristown, TN

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0663681Healthstar Physicians, PC420 W Morris Blvd Suite 400E, Morristown, TN 37813AccreditationDec 22, 2027
44D2173884Healthstar Physicians PC420 West Morris Blvd Suite 400 G, Morristown, TN 37813Certificate of waiverOct 20, 2027
44D2173886Healthstar Physicians PC420 West Morris Blvd Suite 400B, Morristown, TN 37813Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Locations

1293 Highway 11W
Ste D
Bean Station, TN 37708

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

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

1059 E Highway 11 E
Jefferson City, TN 37760
Phone (865) 375-6005

1526 Bridgewater Ln
Ste 100
Kingsport, TN 37660
Phone (423) 583-0803

9303 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 690-6451

9333 Park West Blvd
Knoxville, TN 37923
Phone (865) 531-4600

1907 W Morris Blvd
Ste A300
Morristown, TN 37813
Phone (423) 353-1152

1907 W Morris Blvd
Ste G
Morristown, TN 37813
Phone (423) 318-0014

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

619 W 7th North St
Ste F
Morristown, TN 37814
Phone (423) 587-9948

711 McFarland St
Morristown, TN 37814
Phone (423) 317-7412

530 W Old Andrew Johnson Hwy
New Market, TN 37820
Phone (423) 587-1987

121 Newport Towne Ctr
Newport, TN 37821
Phone (423) 532-8621

998 W Highway 25 70
Ste 4
Newport, TN 37821

900 W Main St
Ste 3
Rogersville, TN 37857

6232 W Andrew Johnson Hwy
#1400
Talbott, TN 37877

6232 W Andrew Johnson Hwy
Ste 14
Talbott, TN 37877

Ownership & related parties

Subparts reporting this organization as parent 9

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 114

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.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1184610248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132262",
            "telephone_number": "423-581-5925",
            "fax_number": "423-581-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "STE. 400A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-581-5925",
            "fax_number": "423-581-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAR PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-02-07",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "BRABSON",
        "authorized_official_first_name": "ODESSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "423-581-5925"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD 17188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3707881",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3980158",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3707888",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.