Individual provider Active NPI

Stephen J Mould, PA-C

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1548247885
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2862 Issued in TN
Practice address
1800 Medical Center Pkwy
Suite 200
Murfreesboro, TN 37129-2567
Phone
(615) 896-6800
Fax
(615) 695-1483
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2682 TN
Surgical Physician Assistant 363AS0400X 2682 TN
Physician Assistant 363A00000X 2862 TN Primary
Physician Assistant 363A00000X PA2682 TN

Addresses

Primary practice location

1800 Medical Center Pkwy
Suite 200
Murfreesboro, TN 37129-2567

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294

Other identifiers 1

IdentifierTypeStateIssuer
Q010356MedicaidTN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150331001051 TN Practitioner - Physician Assistant 3375512015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2862TNMDPhysician Assistant
PA2682TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2015 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2015 Accepting new patients
CHS Professional Practice, P.C. Past Accepting new patients

Locations

315 N Washington Ave
Ste 150
Cookeville, TN 38501
Phone (800) 264-3762

215 Gothic Ct
Ste 101
Franklin, TN 37067
Phone (615) 236-5000

501 Saundersville Rd
Hendersonville, TN 37075
Phone (615) 527-9026

1800 Medical Center Pkwy
Ste 200
Murfreesboro, TN 37129
Phone (615) 278-1634

5109 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 278-1614

8 City Blvd
Ste 300
Nashville, TN 37209

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

8 City Blvd
Ste 200
Nashville, TN 37209
Phone (615) 263-0178

Interoperability endpoints

  • Direct secure messaging: stephen.mould.p1@direct.toa.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1548247885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292567",
            "telephone_number": "615-896-6800",
            "fax_number": "615-695-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULD",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2682",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2682",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2862",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA2682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010356",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.