| Dr Joshua Proffitt, MD | |
|
124 Noland Dr, Mooresburg, TN 37811-4400 | |
| (423) 500-5336 | |
| (423) 500-5339 |
| Full Name | Dr Joshua Proffitt |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 124 Noland Dr, Mooresburg, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831650779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | TP451 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 67919 (Tennessee) | Primary |
| 207P00000X | Emergency Medicine | TP451 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caris Healthcare | Knoxville, TN | Hospice |
| Smoky Mountain Hospice Inc | Newport, TN | Hospice |
| Leconte Medical Center | Sevierville, TN | Hospital |
| Cumberland Medical Center | Crossville, TN | Hospital |
| Morristown Hamblen Hospital Association | Morristown, TN | Hospital |
| Roane Medical Center | Harriman, TN | Hospital |
| Ridgeview Terrace Of Life Care | Rutledge, TN | Nursing home |
| Willow Ridge Center | Maynardville, TN | Nursing home |
| Oneida Nursing And Rehab Center | Oneida, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rocky Top Family Med, Inc | 5799205316 | 2 |
| Rocky Top Family Med, Inc | 5799205316 | 2 |
| Emergency Coverage Llc | 3072412592 | 764 |
| Southeastern Emergency Physicians Llc | 2466364997 | 784 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Rocky Top Family Med, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942027727 PECOS PAC ID: 5799205316 Enrollment ID: O20250225003478 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua Proffitt, MD 124 Noland Dr, Mooresburg, TN 37811-4400 Ph: (423) 500-5336 | Dr Joshua Proffitt, MD 124 Noland Dr, Mooresburg, TN 37811-4400 Ph: (423) 500-5336 |