MOUNTAIN BEND MEDICAL ASSOCIATES PLLC
NPI 1497515225
Clinic/Center - Primary Care in Dunlap, TN
About Mountain Bend Medical Associates Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN BEND MEDICAL ASSOCIATES PLLC (NPI 1497515225) is a healthcare organization registered as a primary care in Dunlap, Tennessee and active in the NPI registry since March 2024. The organization holds 2 active CLIA laboratory certificates and lists Samantha Graham, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Mountain Bend Medical Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Bend Medical Associates PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2309055
Mountain Bend Medical Associates, PLLC · Dunlap, TNCertificate of Waiver 44D0898724
Mountain Bend Medical Associates Dba Mountain Bend Medical Associates PLLC · Dunlap, TNFrequently 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 Bend Medical Associates PLLC's NPI number?
The NPI number for Mountain Bend Medical Associates PLLC is 1497515225. It was assigned to this organization in the NPPES registry on March 20, 2024.
Where is Mountain Bend Medical Associates PLLC located?
Mountain Bend Medical Associates PLLC is located at 29 Crestview Drive, Dunlap, TN 37327. The listed phone number is (423) 949-6300.
What is Mountain Bend Medical Associates PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mountain Bend Medical Associates PLLC enrolled in Medicare?
Yes. Mountain Bend Medical Associates PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain Bend Medical Associates PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mountain Bend Medical Associates PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mountain Bend Medical Associates PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Mountain Bend Medical Associates PLLC accept?
Health plans from Cigna Healthcare list Mountain Bend Medical Associates PLLC 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 Bend Medical Associates PLLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Mountain Bend Medical Associates Pllc · NPI 1497515225
Primary Care organization in Dunlap, Tennessee. Organization record, active in the CMS NPPES registry since March 20, 2024.
## Identity
- **NPI:** 1497515225 (Entity type: Organization)
- **Enumerated:** March 20, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Samantha Graham, OFFICE MANAGER
## Practice location
- **Address:** 29 CRESTVIEW DRIVE, Dunlap, TN 37327-7039
- **Phone:** (423) 949-6300 · **Fax:** (423) 949-6374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497515225) · Data from the CMS NPPES public registry.