NPIMap

Organization Active NPI

Healthforce Medical Group LLC

  • Adult Medicine Physician
  • Hixson, TN
National Provider Identifier
1942718754
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HEALTHFORCE MEDICAL GROUP LLC
Practice address
5000 Alpha LN
Hixson, TN 37343-4054
Phone
(423) 870-1662
NPI assigned
Jan 15, 2018
Last updated
Jan 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Marwan Moughrabi, NPNPI 1699722421
Title
Co-Owner
Phone
(423) 870-1662

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

5000 Alpha LN
Hixson, TN 37343-4054

Mailing address

PO Box 22696
Chattanooga, TN 37422-2696
Phone (423) 870-1662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181011002977 TN Part B Supplier - Clinic/Group Practice 0143572594 Receives reassigned benefits from 5 practitioners
Practice locations: Dunlap, TN; Hixson, TN

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
44D0997675Healthforce Medical Group5000 Alpha Lane, Hixson, TN 37343Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Locations

16740 Rankin Ave
Dunlap, TN 37327
Phone (423) 541-2074

16740 Rankin Ave
Ste A
Dunlap, TN 37327

5000 Alpha Ln
#0
Hixson, TN 37343

5000 Alpha Ln
Ste B
Hixson, TN 37343

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1942718754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22696",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374222696",
            "telephone_number": "423-870-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434054",
            "telephone_number": "423-870-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFORCE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "MOUGHRABI",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "423-870-1662",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.