Individual provider Active NPI

Joshua Proffitt, MD

  • Family Medicine Physician
  • Mooresburg, TN
National Provider Identifier
1831650779
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67919 Issued in TN
Practice address
124 Noland Dr
Mooresburg, TN 37811-4400
Phone
(423) 500-5336
Fax
(423) 500-5339
NPI assigned
Mar 25, 2019
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TP451 KY
Family Medicine Physician 207Q00000X 67919 TN Primary
Emergency Medicine Physician 207P00000X TP451 KY

Addresses

Primary practice location

124 Noland Dr
Mooresburg, TN 37811-4400

Mailing address

124 Noland Dr
Mooresburg, TN 37811-4400
Phone (423) 500-5336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211116002918 KY Practitioner - Family Practice 2567851330 Reassigns benefits to 7 organizations
I20250225003689 TN Practitioner - Family Practice 2567851330 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Top Family Med, IncGroup PAC ID 5799205316, 2 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

124 Noland Dr
Mooresburg, TN 37811-4400
Phone (423) 500-5336

1340 S Laurel Rd
Suite 1012
London, KY 40744-8304
Phone (606) 335-2140

1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (423) 626-4211

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 908-3608

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
90.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67919TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Jul 7, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Jul 7, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 22, 2025 Accepting new patients
Casey County Hospital District CurrentSince Jun 28, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 22, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 7, 2025 Accepting new patients
Hyden Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 28, 2022 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Oct 11, 2021 Accepting new patients
Pine Mountain Emergency Group Limited Liability Company Emergency Medicine CurrentSince Aug 7, 2023 Accepting new patients
Casey County Hospital District CurrentSince Jun 28, 2023 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 10, 2025 Accepting new patients
Rocky Top Family Med, Inc. CurrentSince Jan 11, 2025 Accepting new patients
Rocky Top Family Med, Inc CurrentSince Sep 24, 2024 Accepting new patients
Middlesborough Emergency Physicians LLC Emergency Medicine CurrentSince Jun 26, 2023 Accepting new patients
Life Care Centers of America, Inc. Past Accepting new patients
Sunbridge Regency - Tennessee, LLC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

187 Wolford Ave
Liberty, KY 42539
Phone (606) 787-5044

1340 S Laurel Rd
London, KY 40744
Phone (606) 335-2140

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/caseyco-4151b385
  • Direct secure messaging: jproffi2@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rocky Top Family Med, IncMooresburg, TN, CCN 888938 Rural health clinic Contracted Managing Employee (100%)
5% Or Greater Direct Ownership Interest
Corporate Director (100%)
W-2 Managing Employee (100%)
Sep 24, 2024
Sep 24, 2024
Sep 24, 2024
Sep 24, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1831650779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NOLAND DR",
            "city": "MOORESBURG",
            "state": "TN",
            "postal_code": "378114400",
            "telephone_number": "423-500-5336",
            "fax_number": "423-500-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NOLAND DR",
            "city": "MOORESBURG",
            "state": "TN",
            "postal_code": "378114400",
            "telephone_number": "423-500-5336",
            "fax_number": "423-500-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP451",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "67919",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresburg, TN

Sources for this page

Verify at the official NPI Registry.