Individual provider Active NPI

Timothy Michael Stanfield, DO

  • Psychiatry Physician
  • Mountain Home, TN
National Provider Identifier
1356839898
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5180 Issued in TN
Practice address
Corner of Lamont St and Veterans Way
Mountain Home, TN 37684
Phone
(423) 926-1171
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5180 TN Primary

Addresses

Primary practice location

Corner of Lamont St and Veterans Way
Mountain Home, TN 37684

Mailing address

809 Lamont Street
Mountain Home, TN 37684-0699
Phone (423) 926-1171

Other practice location 1

2 Professional Park Dr Ste 21
Johnson City, TN 37604-6584
Phone (423) 379-8120

Other identifiers 1

IdentifierTypeStateIssuer
Q084911MedicaidTN

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808002052 TN Practitioner - Psychiatry 3971850835 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians
University of TennesseeGroup PAC ID 3072421213, 64 clinicians
Tennessee Ketamine and TherapeuticsGroup PAC ID 4688182918, 4 clinicians

Practice addresses (Care Compare)

1128 E Weisgarber Rd
Suite 230
Knoxville, TN 37909-2676
Phone (865) 251-1960

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite 127
Knoxville, TN 37920-1522
Phone (865) 305-8787

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640

1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740

718 W Lamar Alexander Pkwy
Maryville, TN 37801-3943
Phone (865) 233-6188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Medical Education Assistance Corporation Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
University of Tennessee CurrentSince Nov 3, 2024 Accepting new patients
Tennessee Ketamine & Therapeutics CurrentSince Jun 23, 2025 Accepting new patients
University Health System, Inc CurrentSince Oct 1, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
University of Tennessee CurrentSince Nov 3, 2024 Accepting new patients
Phoenix Group Home, LLC Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

2 Professional Park Dr
Ste 21
Johnson City, TN 37604
Phone (423) 379-8082

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

718 W Lamar Alexander Pkwy
Maryville, TN 37801
Phone (865) 233-6188

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1356839898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 LAMONT STREET",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699",
            "telephone_number": "423-926-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF LAMONT ST AND VETERANS WAY",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Professional Park Dr Ste 21",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046584",
            "country_code": "US",
            "telephone_number": "423-379-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "5180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q084911",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, TN

Sources for this page

Verify at the official NPI Registry.