MOUNTAIN BEND MEDICAL ASSOCIATES PLLC
NPI 1497515225
Clinic/Center - Primary Care in Dunlap, TN

Active since March 20, 2024CLIA 44D0898724 · Waiver
29 CRESTVIEW DRIVE, DUNLAP, TN 37327(423) 949-6300(423) 949-6374 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Jun 18, 2024, May 7, 2024 (3 updates tracked since 2024).

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 a CLIA Waiver certificate valid through March 8, 2027 and lists Samantha Graham, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1497515225
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMOUNTAIN BEND MEDICAL ASSOCIATES PLLC
Location Address29 CRESTVIEW DRIVEDunlap, TN 37327-7039
Mailing AddressPo Box 1389Dunlap, TN 37327-1389 · (423) 949-6300 · Fax (423) 949-6374
Fax(423) 949-6374
Organization SubpartNo
Authorized OfficialSamantha GrahamOffice Manager · (423) 949-6300
Enumeration DateMarch 20, 2024
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1497515225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
29 CRESTVIEW DRIVE, Dunlap, TN 37327

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 44D0898724

Mountain Bend Medical Associates Dba Mountain Bend Medical Associates PLLC · Dunlap, TN
Active · expires Mar 8, 2027
CLIA Number44D0898724
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorSamantha Graham
Laboratory Phone(423) 949-6300
Laboratory LocationMountain Bend Medical Associates Dba Mountain Bend Medical Associates PLLC29 Crestview Drive, Dunlap, TN 37327
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2309055

Mountain Bend Medical Associates, PLLC · Dunlap, TN
Expired · Aug 7, 2026
CLIA Number44D2309055
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorSamantha Graham
Laboratory Phone(423) 949-6300
Laboratory LocationMountain Bend Medical Associates, PLLC15166 Rankin Ave, Dunlap, TN 37327
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
29 CRESTVIEW DRIVE
DUNLAP, TN 37327
Family Medicine
29 CRESTVIEW DRIVE
DUNLAP, TN 37327

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 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.

Does Mountain Bend Medical Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0898724) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 6 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.