Emerson Jay Mounger, MD MEDICAL DOCTOR

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD0000004719 Issued in TN

Practice address

1932 Alcoa Hwy
Suite C 475
Knoxville, TN 37920-1523

Phone

(865) 305-5000

Fax

(865) 305-5001

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8302/brand/1/csg/1/fhir/r4

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.

• Urology and Urologic Surgery PC

  • Urology Physician
  • Knoxville, TN
  • NPI 1962532515
  Medicare reassignment NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1679648398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "SUITE 475 BUILDING C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201523",
            "telephone_number": "865-305-5000",
            "fax_number": "865-305-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "SUITE C 475",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201523",
            "telephone_number": "865-305-5000",
            "fax_number": "865-305-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNGER",
        "first_name": "EMERSON",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD0000004719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4024485",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150382",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Mott, COUNSELOR
• Kelly Motter, NP
• John Logan Mottern, DO
• Valerie Hill Moucha, REGISTERED NURSE
• Nancy Ann Moulton, PA
• Jason W Mount, CRNA
• Sherry Wagner Mount, LPN
• Mountain Blooms Therapy LLC
• Mountain Dental P.C.
• Mountain Home Vamc

• Urology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.