Individual provider Active NPI

Sadril Mohammad

  • Surgical Physician Assistant
  • Tazewell, TN
National Provider Identifier
1912309725
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-2632 Issued in TN
Practice address
1830 Main St
Tazewell, TN 37879-3426
Phone
(423) 491-7444
NPI assigned
Sep 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA-2632 TN Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

1830 Main St
Tazewell, TN 37879-3426

Mailing address

1754 N Broad St
Tazewell, TN 37879-4365
Phone (865) 385-6232

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001097 TN Practitioner - Physician Assistant 5193048726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tazewell Orthopaedic and Arthritis Clinic PCGroup PAC ID 4789005919, 2 clinicians

Practice addresses (Care Compare)

1830 Main St
Tazewell, TN 37879-3426
Phone (423) 491-7444

Hospital & facility affiliations

  • Amedisys Home Health of Tennessee Home health agency, Tazewell, TN, CCN 447188
  • Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2632TNMDNeurology Physician
PA-2632TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Muslim Community of Knoxville'S Shifa Clinic Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sadril@tazewellortho.kareodirect.com
  • Direct secure messaging: sadril.mohammad.p2@direct.bmpg.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1912309725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 N BROAD ST",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794365",
            "telephone_number": "865-385-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 MAIN ST",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793426",
            "telephone_number": "423-491-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "SADRIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "PA-2632",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.