Organization Active NPI

Tennessee River Urgent Care

  • Family Medicine Physician
  • Sheffield, AL
National Provider Identifier
1811463185
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TENNESSEE RIVER URGENT CARE
Practice address
707 E 2ND St Ste a
Sheffield, AL 35660-3219
Phone
(256) 320-7365
Fax
(256) 320-7366
NPI assigned
Oct 15, 2018
Last updated
May 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Mrs. Kristine E MollohanNPI 1801213301
Title
Owner/NP
Phone
(256) 320-7365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

707 E 2ND St Ste a
Sheffield, AL 35660-3219

Mailing address

707 E 2ND St Ste a
Sheffield, AL 35660-3219
Phone (256) 320-7365

Other practice location 1

218 E. 5th Street Suite 2
Tuscumbia, AL 35674-2520
Phone (256) 464-7174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181220000325 AL Part B Supplier - Clinic/Group Practice 0941545974 Receives reassigned benefits from 3 practitioners
Practice locations: Sheffield, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2160777Tennessee River Urgent Care707 East 2ND Street, Suite 1, Sheffield, AL 35660Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

9238 Madison Blvd
Ste 1300B
Madison, AL 35758
Phone (256) 464-7174

707 E 2nd St
Ste A
Sheffield, AL 35660
Phone (256) 320-7365

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1811463185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E 2ND ST STE A",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356603219",
            "telephone_number": "256-320-7365",
            "fax_number": "256-320-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E 2ND ST STE A",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356603219",
            "telephone_number": "256-320-7365",
            "fax_number": "256-320-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 E. 5th Street Suite 2",
            "address_purpose": "LOCATION",
            "city": "Tuscumbia",
            "state": "AL",
            "postal_code": "356742520",
            "country_code": "US",
            "telephone_number": "256-464-7174",
            "fax_number": "256-464-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TENNESSEE RIVER URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "MOLLOHAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "256-320-7365",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.