Mountain Bend Medical Associates PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MOUNTAIN BEND MEDICAL ASSOCIATES PLLC

Practice address

29 Crestview Drive
Dunlap, TN 37327-7039

Phone

(423) 949-6300

Fax

(423) 949-6374

NPI assigned

Mar 20, 2024

Last updated

Feb 2, 2026By 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

Samantha Graham

Title

Office Manager

Phone

(423) 949-6300

Specialties & licenses 1

Addresses

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

Locations

Practitioners 7

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.

• Caleb M May, D.O.

  • Family Medicine Physician
  • Dunlap, TN
  • NPI 1548496185
  Medicare reassignment NPD
• Tarrah Davis, FNP-C

  • Family Nurse Practitioner
  • Dunlap, TN
  • NPI 1083228209
  NPD
• Debora Joan Angel-Pompi, N.P.

  • Family Nurse Practitioner
  • Pikeville, TN
  • NPI 1548206394
  NPD (past)
• Roger Alan Johnson, PA

  • Physician Assistant
  • Chattanooga, TN
  • NPI 1053568170
  NPD (past)
• Jessica Dion Shedd, NP-C

  • Nurse Practitioner
  • Dunlap, TN
  • NPI 1568985547
  NPD (past)
• Bradley K Hatcher, NP-C

  • Family Nurse Practitioner
  • Ripley, MS
  • NPI 1740612878
  NPD (past)
• Angela Maria Snyder, MSN, FNP-BC

  • Family Nurse Practitioner
  • River Grove, IL
  • NPI 1396143871
  NPD (past)

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1497515225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373271389",
            "telephone_number": "423-949-6300",
            "fax_number": "423-949-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CRESTVIEW DRIVE",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277039",
            "telephone_number": "423-949-6300",
            "fax_number": "423-949-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN BEND MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-949-6300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Carlene Mayfield, PHARMACIST
• 0Susan Kelly Merriman, RN
• Kasey Leann Mills, MSN, FNP-C
• David L Morrison
• Jason Moss, PHARMD
• Marly Coleman Myrick, OD
• NHC Healthcare Sequatchie LLC
• NHC Healthcare-Sequatchie LLC
• Kenneth Nix
• Northland Hearing Center, Inc. (The Hearing Aid Center)

• Primary Care Clinic/Center in Dunlap, TN
• Providers in Dunlap, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.