Abode Care Partners LTC VB, LLC
Organization Active NPI Nurse Practitioner · Mountain City, TN
NPI 1972372225 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1972372225
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- ABODE CARE PARTNERS LTC VB, LLC
- Practice address
- 919 Medical Park Dr
Mountain City, TN 37683-1042 - Phone
- (800) 807-6555
- Fax
- (855) 316-2999
- NPI assigned
- Dec 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Angie Mattingly
- Title
- MGR Provider Enrollment
- Phone
- (502) 420-2512
Other NPIs with the same Medicare PAC ID 14
Member of 1
Practitioners 105
-
Cathy Denise Abston, NP-C
-
Jessica Altman, FNP
-
Talia Nicole Garner, FNP
-
Heather Haddock, NP
-
Brittany S Hill, APN
-
Tiffany Hill, APRN
-
Laila Hubard, NP
-
Hannah Jones, NP
-
Robin Tidwell Jones, APRN
-
Joseph Ozenne, M.D.
-
Amanda Jo Smith-Rodriguez, MSN, FNP-C
-
Teresa L Vinson, NP
-
Melissa L Winton, FNP-C
-
Rebecca Cravens, FNP-BC
-
William Robert Mills, M.D.
-
Karin B Boeck, M.D.
-
Elizabeth Scott Chiu, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240129001302 | TN | Part B Supplier - Clinic/Group Practice | 8325316516 |
Receives reassigned benefits from 46 practitioners Practice locations: Mountain City, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
919 Medical Park Dr
Mountain City, TN 37683-1042
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Other providers in Mountain City, TN
- Abode Care Partners Al VB, LLC
- Abode Care Partners VB, LLC
- Adams Pharmacy LLC
- Adams Pharmacy LLC
- Holly Adams
- Samuel B Adams Jr.
All providers in Mountain City, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.