Mason Health Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MASON HEALTH CLINIC

Practice address

12173 Main St Ste B
Mason, TN 38049-7067

Phone

(901) 283-8479

NPI assigned

Sep 16, 2021

Last updated

Aug 14, 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

Mrs. Tiffany TaylorNPI 1265380596

Title

Administrator

Phone

(901) 283-8479

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: info@masonhealthclinic.com

Practitioners 4

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.

• Tammy Delaney, DNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1437812351
  Medicare reassignment NPD
• Tiffany Lashelle Taylor, SFNP

  • Family Nurse Practitioner
  • Mason, TN
  • NPI 1265380596

  Single Specialty

  NPD Authorized official
• Katosha Andra Muse, M.D.

  • Specialist
  • Memphis, TN
  • NPI 1366763435
  NPD
• Clarice Rena White, DDS

  • General Practice Dentistry
  • Mason, TN
  • NPI 1891776845
  NPD (past)

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1366112732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12173 MAIN ST STE B",
            "city": "MASON",
            "state": "TN",
            "postal_code": "380497067",
            "telephone_number": "901-283-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12173 MAIN ST STE B",
            "city": "MASON",
            "state": "TN",
            "postal_code": "380497067",
            "telephone_number": "901-283-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-283-8479",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@masonhealthclinic.com",
            "affiliation": "N",
            "address_1": "12173 Main St Ste B",
            "city": "Mason",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380497067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr. C.R. White and Associates Dental Center,Inc. (Dr. Clarice R. White)
• Grace & Loving Hearts Care Services LLC
• Grace & Loving Hearts Care Services LLC
• Althea Lashun Hennings, PTA
• Lynda Kaye Hoskins, CPM-TN
• Stella Mireles
• Christopher T. Short
• Sugarspoon, LLC (SugarSpoon Hometown Pharmacy)
• Tiffany Lashelle Taylor, SFNP
• Terrycare Senior Community Services (TerryCare)

• Rural Health Clinic/Center in Mason, TN
• Providers in Mason, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.