Mountain Medical Services PLLC
NPI 1053610717 · Family Nurse Practitioner · Kodak, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain Medical Services PLLC is a Family Nurse Practitioner organization in Kodak, TN (NPI 1053610717).
Provider details
- NPI number
- 1053610717
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Roger Barnes, Doctor(865) 933-9950
- License
- APN 13355 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-21
- Last updated
- 2015-06-09
Frequently asked questions
- What is Mountain Medical Services PLLC's NPI number?
- Mountain Medical Services PLLC's National Provider Identifier (NPI) is 1053610717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Medical Services PLLC?
- Mountain Medical Services PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mountain Medical Services PLLC located?
- Mountain Medical Services PLLC's practice location on file with NPPES is 2946 Winfield Dunn Pkwy Ste 107, Kodak, TN 37764-4306.
- What is Mountain Medical Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain Medical Services PLLC is (865) 933-9950.
- Does Mountain Medical Services PLLC accept Medicare?
- Mountain Medical Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain Medical Services PLLC?
- The authorized official listed on Mountain Medical Services PLLC's NPPES record is Roger Barnes, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Medical Services PLLC's NPI active?
- Yes — Mountain Medical Services PLLC's NPI (1053610717) is active in the NPPES registry as of the last update on 2015-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.