Organization Active NPI

Tazewell Orthopaedic & Arthritis Clinic, PC

  • Orthopaedic Surgery Physician
  • Tazewell, TN
National Provider Identifier
1285255729
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TAZEWELL ORTHOPAEDIC & ARTHRITIS CLINIC, PC
Practice address
1830 Main St
Tazewell, TN 37879-3426
Phone
(423) 491-7444
Fax
(423) 830-0665
NPI assigned
May 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Sadril MohammadNPI 1912309725
Title
Physician Assistant
Phone
(423) 491-7444

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1830 Main St
Tazewell, TN 37879-3426

Mailing address

1830 Main St
Tazewell, TN 37879-3426
Phone (423) 491-7444

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200526002625 TN Part B Supplier - Clinic/Group Practice 4789005919 Receives reassigned benefits from 4 practitioners
Practice locations: Tazewell, TN
O20200610003049 TN DME Supplier - Multi-Specialty - Physician 4789005919 Practice locations: Tazewell, TN

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
44D2336808Tazewell Orthopaedic and Arthritis Clinic1830 Main Street, Tazewell, TN 37879Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

1745 N Broad St
Tazewell, TN 37879

Practitioners & affiliated clinicians

Practitioners 4

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": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1285255729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MAIN ST",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793426",
            "telephone_number": "423-491-7444",
            "fax_number": "423-830-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 MAIN ST",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793426",
            "telephone_number": "423-491-7444",
            "fax_number": "423-830-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZEWELL ORTHOPAEDIC & ARTHRITIS CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "SADRIL",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "423-491-7444"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.