NPIMap

Organization Active NPI

Omni Community Health, Inc.

  • Community/Behavioral Health Agency
  • Knoxville, TN
National Provider Identifier
1881024172
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OMNI COMMUNITY HEALTH, INC.
Practice address
4709 Papermill Dr Ste 100
Knoxville, TN 37909-1928
Phone
(865) 525-0391
Fax
(865) 525-0393
NPI assigned
Nov 22, 2013
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Christopher Moynihan, LCSW
Title
President of Behavioral Health
Phone
(629) 256-0597

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Adult Mental Health Clinic/Center 261QM0850X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4709 Papermill Dr Ste 100
Knoxville, TN 37909-1928

Mailing address

301 S Perimeter Park Dr Ste 210
Nashville, TN 37211-4128
Phone (877) 258-8795

Other practice location 1

2906 Eastpoint Pkwy
Louisville, KY 40223-4186
Phone (502) 822-7679

Other practice location 2

1401 Williams St Ste 210
Chattanooga, TN 37408-1190
Phone (865) 525-0391

Other practice location 3

301 S Perimeter Park Dr
Suite 210
Nashville, TN 37211-4143
Phone (877) 258-8795

Other practice location 4

1055 National Mine Rd
Madisonville, KY 42431-8913
Phone (270) 825-1698

Other identifiers 3

IdentifierTypeStateIssuer
7100527730MedicaidKY
Q004198MedicaidTN
7100055600MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160727001569 TN Part B Supplier - Clinic/Group Practice 5799078804 Receives reassigned benefits from 26 practitioners
Practice locations: Oneida, TN; Murfreesboro, TN; Memphis, TN; Lebanon, TN; Goodlettsville, TN; Lawrenceburg, TN; La Follette, TN; Knoxville, TN…
O20190411001441 KY Part B Supplier - Clinic/Group Practice 5799078804 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY; Louisville, KY

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
18D2215826Omni Community Health - Louisville2906 Eastpoint Parkway, Louisville, KY 40223Certificate of waiverMar 7, 2027
44D2217759Omni Community Health - Chattanooga1401 Williams Street Suite 210, Chattanooga, TN 37408Certificate of waiverMar 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Omni Community Health Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1240 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-8112

921 Beasley St
Ste 145
Lexington, KY 40509
Phone (502) 309-4510

2906 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 822-7679

404 S White St
Athens, TN 37303
Phone (423) 405-6038

704 W Madison Ave
Athens, TN 37303
Phone (423) 746-0163

1401 Williams St
Ste 210
Chattanooga, TN 37408
Phone (423) 207-4712

1635 Chestnut St
Chattanooga, TN 37408
Phone (423) 207-4712

2600 Executive Park NW
Cleveland, TN 37312
Phone (423) 458-4122

1365 Maley Hollow Rd
Dayton, TN 37321
Phone (314) 503-7015

2001 Mallory Ln
Ste 200
Franklin, TN 37067
Phone (615) 224-1590

615 W Main St
Ste 108
Greeneville, TN 37743

4709 Papermill Dr
Ste 100
Knoxville, TN 37909

4709 Papermill Dr
Ste 202
Knoxville, TN 37909
Phone (865) 522-2881

2221 Jacksboro Pike
Ste C6
La Follette, TN 37766

103 Weakley Creek Rd
#B
Lawrenceburg, TN 38464
Phone (931) 766-1916

1420 W Baddour Pkwy
Ste 240
Lebanon, TN 37087
Phone (615) 444-4126

1407 Union Ave
Ste 815
Memphis, TN 38104
Phone (901) 800-4645

145 Thompson Ln
Nashville, TN 37211
Phone (615) 781-0013

256 S Bank St
Oneida, TN 37841

Practitioners & affiliated clinicians

Practitioners 102

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.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1881024172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PERIMETER PARK DR STE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114128",
            "telephone_number": "877-258-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 PAPERMILL DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091928",
            "telephone_number": "865-525-0391",
            "fax_number": "865-525-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2906 Eastpoint Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402234186",
            "country_code": "US",
            "telephone_number": "502-822-7679",
            "fax_number": "502-470-3551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Williams St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374081190",
            "country_code": "US",
            "telephone_number": "865-525-0391",
            "fax_number": "865-525-0393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Perimeter Park Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114143",
            "country_code": "US",
            "telephone_number": "877-258-8795",
            "fax_number": "615-827-0421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 National Mine Rd",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424318913",
            "country_code": "US",
            "telephone_number": "270-825-1698",
            "fax_number": "270-825-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OMNI COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "MOYNIHAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "629-256-0597",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100527730",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q004198",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100055600",
            "state": "KY"
        }
    ],
    "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 Dec 4, 2024; 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.