MOUNTAIN FAMILY MEDICINE
NPI 1396943841
Nurse Practitioner in Elizabethton, TN

Active since July 06, 2007
1503 W ELK AVE STE 3, ELIZABETHTON, TN 37643(423) 543-6660(423) 543-5133 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mountain Family Medicine NPPES

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

MOUNTAIN FAMILY MEDICINE (NPI 1396943841) is a healthcare organization registered as a nurse practitioner in Elizabethton, Tennessee and active in the NPI registry since July 2007. The organization lists Scott Okrina Caudle, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1396943841
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSCOTT O CAUDLE
Location Address1503 W ELK AVE STE 3Elizabethton, TN 37643-2883
Mailing Address1503 W Elk Ave Ste 3Elizabethton, TN 37643-2883 · (423) 543-6660 · Fax (423) 543-5133
Fax(423) 543-5133
Organization SubpartNo
Authorized OfficialScott Okrina CaudleOwner Doctor · (423) 543-8619
Enumeration DateJuly 6, 2007
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1396943841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · APN12619
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1503 W ELK AVE STE 3, Elizabethton, TN 37643

Other Names 1

Doing Business AsMountain Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mountain Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1770570772
1503 W ELK AVE SUITE 1
Elizabethton, TN 37643
(423) 543-8619
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639680770
259 N PETERS RD STE 103
Knoxville, TN 37923
(865) 690-1255
✔ PECOS✔ Accepts Medicare107 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 Scott O Caudle's NPI number?

The NPI number for Scott O Caudle is 1396943841. It was assigned to this organization in the NPPES registry on July 6, 2007. The provider is doing business as Mountain Family Medicine.

Where is Scott O Caudle located?

Scott O Caudle is located at 1503 W Elk Ave Ste 3, Elizabethton, TN 37643. The listed phone number is (423) 543-6660.

What is Scott O Caudle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Scott O Caudle enrolled in Medicare?

Yes. Scott O Caudle is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott O Caudle?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Scott O Caudle, in General Surgery and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scott O Caudle was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.