BHRHC MT. CITY
NPI 1205846508
Clinic/Center - Rural Health in Mountain City, TN

Active since August 09, 2006
1901 S SHADY ST, MOUNTAIN CITY, TN 37683(423) 727-1100(423) 727-1105 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bhrhc Mt. City NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BHRHC MT. CITY (NPI 1205846508) is a healthcare organization registered as a rural health in Mountain City, Tennessee and active in the NPI registry since August 2006. The organization lists Dwayne Taylor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205846508
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address1901 S SHADY STMountain City, TN 37683-2021
Mailing Address1901 S Shady StMountain City, TN 37683-2021 · (423) 727-1100 · Fax (423) 727-1105
Fax(423) 727-1105
Organization SubpartNo
Authorized OfficialDwayne TaylorCeo · (423) 542-1333
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1205846508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
1901 S SHADY ST, Mountain City, TN 37683

Other Names 2

Doing Business AsBhrhc Mt. City
Doing Business AsMsmg Fp Im Mtn

Other Identifiers 1

Medicaid3278673TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhrhc Mt. City is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Bhrhc Mt. City, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner9
Hematology/Oncology3
Internal Medicine3
Family Practice2

Clinicians, nearest first (17)

Family Practice
NPI 1609455880
1901 S SHADY ST
Mountain City, TN 37683
(423) 727-1100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578819439
1901 S SHADY STREET
Mountain City, TN 37683
(423) 727-1150
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437874294
1901 S SHADY ST
Mountain City, TN 37683
(423) 727-1100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366962631
1901 S SHADY ST
Mountain City, TN 37683
(423) 727-1103
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1982898193
12180 ALDER ST
Meadowview, VA 24361
(276) 695-0205
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1457644254
1497 W ELK AVE SUITE 21
Elizabethton, TN 37643
(423) 542-7420
✔ PECOS✔ Accepts Medicare26 mi
Hematology/Oncology
NPI 1356758239
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare33 mi
Internal Medicine
NPI 1871907147
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1346632783
1 PROFRESSIONAL PARK DR SUITE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1750005492
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1316272453
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1649915893
111 W STONE DR STE 200
Kingsport, TN 37660
(423) 723-2030
✔ PECOS✔ Accepts Medicare43 mi
Internal Medicine
NPI 1316903099
111 W STONE DR STE 200
Kingsport, TN 37660
(423) 723-2030
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1487329298
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1740716927
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare53 mi
Hematology/Oncology
NPI 1700246394
88 MDG/SGHJ 4881 SUGAR MAPLE DR
Wright Patterson Afb, OH 45433
(816) 885-9531
✔ PECOS✔ Accepts Medicare262 mi
Hematology/Oncology
NPI 1801156765
3551 ROGER BROOKE DR
Fort Sam Houston, TX 78234
(210) 916-4808
✔ PECOS✔ Accepts Medicare1,077 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mountain States Health Alliance's NPI number?

The NPI number for Mountain States Health Alliance is 1205846508. It was assigned to this organization in the NPPES registry on August 9, 2006. The provider is doing business as Bhrhc Mt. City and Msmg Fp Im Mtn.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 1901 S Shady St, Mountain City, TN 37683. The listed phone number is (423) 727-1100.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Mountain States Health Alliance enrolled in Medicare?

Yes. Mountain States Health Alliance is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain States Health Alliance?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Mountain States Health Alliance. A 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 the clinician's services. The largest specialties are Nurse Practitioner (9), Hematology/Oncology (3) and Internal Medicine (3). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain States Health Alliance accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mountain States Health Alliance 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.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on August 12, 2024. 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.