OrganizationActive
Mindful Recovery Addiction Specialist, LLC
NPI 1497252357 · Addiction Medicine (Family Medicine) Physician · Oneida, TN
Provider details
- NPI number
- 1497252357
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Caudill, Enrollment Consultant(615) 521-9097
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
20463 Alberta St
Oneida, TN 37841
Phone: (423) 286-3292
Street-level locationGet directions
Mailing address
20463 Alberta St
Oneida, TN 37841-3509
Registry dates
- Enumerated
- 2018-04-09
- Last updated
- 2018-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.