AMY ELISE FUNDERBURK MOCK M.D.
NPI 1114919370
Internal Medicine in Memphis, TN
About Amy Elise Funderburk Mock M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY ELISE FUNDERBURK MOCK M.D. (NPI 1114919370) is an individual internal medicine provider in Memphis, Tennessee, licensed in Tennessee (MD31772) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Elise Funderburk Mock M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Funderburk Mock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38104
- Reassigned Medicare billing, Tennessee enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Memorial Hospital
Acute Care Hospitals · Memphis, TNMethodist Hospitals Of Memphis
Acute Care Hospitals · Memphis, TNBaptist Memorial Hospital Tipton
Acute Care Hospitals · Covington, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38128
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amy Funderburk Mock's NPI number?
The NPI number for Amy Funderburk Mock is 1114919370. It was assigned to this individual provider in the NPPES registry on August 15, 2005.
Where is Amy Funderburk Mock located?
Amy Funderburk Mock practices at 4100 Austin Peay Hwy, Memphis, TN 38128. The listed phone number is (901) 844-1431.
What is Amy Funderburk Mock's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Amy Funderburk Mock enrolled in Medicare?
Yes. Amy Funderburk Mock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Funderburk Mock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Funderburk Mock reassigns Medicare benefits to Amy Funderburk, MD PC (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Funderburk Mock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Funderburk Mock accept?
Health plans from Oscar Health Plan, Inc. and Oscar Insurance Company list Amy Funderburk Mock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Amy Funderburk Mock affiliated with any hospitals?
According to CMS data, Amy Funderburk Mock is affiliated with Baptist Memorial Hospital, Methodist Hospitals Of Memphis and Baptist Memorial Hospital Tipton.
When was this NPI record last updated?
The NPPES record for Amy Funderburk Mock was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amy Elise Funderburk Mock, M.D. · NPI 1114919370
Internal Medicine physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since August 15, 2005.
## Identity
- **NPI:** 1114919370 (Entity type: Individual)
- **Enumerated:** August 15, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD31772 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4100 AUSTIN PEAY HWY, Memphis, TN 38128-2502
- **Phone:** (901) 844-1431
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Amy Funderburk, MD PC (NPI 1376709451, Memphis, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 1997
## Record status
- **NPPES last updated:** November 30, 2023
- **Other identifiers:** Medicaid 3843367 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1114919370) · Data from the CMS NPPES public registry.