NPIMap

Organization Active NPI

Total Recovery Mind & Body PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Knoxville, TN
National Provider Identifier
1831825504
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TOTAL RECOVERY MIND & BODY PLLC
Practice address
5724 Western Ave
Knoxville, TN 37921-2224
Phone
(865) 281-5480
Fax
(865) 281-5484
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Jonathan Shreve KamarNPI 1700118411
Title
President
Phone
(865) 281-5480

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5724 Western Ave
Knoxville, TN 37921-2224

Mailing address

5724 Western Ave
Knoxville, TN 37921-2224
Phone (865) 281-5480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208000149 TN Part B Supplier - Clinic/Group Practice 0840662425 Receives reassigned benefits from 9 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1831825504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 WESTERN AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379212224",
            "telephone_number": "865-281-5480",
            "fax_number": "865-281-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 WESTERN AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379212224",
            "telephone_number": "865-281-5480",
            "fax_number": "865-281-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RECOVERY MIND & BODY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "KAMAR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SHREVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-281-5480"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.