MOBILE MEDICAL MISSION PLLC
NPI 1558045336
Family Medicine in Oak Ridge, TN
About Mobile Medical Mission Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOBILE MEDICAL MISSION PLLC (NPI 1558045336) is a healthcare organization registered as a family medicine in Oak Ridge, Tennessee and active in the NPI registry since June 2023. The organization lists Shere Howald Conway, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mobile Medical Mission 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 Mobile Medical Mission 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.
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 Mobile Medical Mission PLLC's NPI number?
The NPI number for Mobile Medical Mission PLLC is 1558045336. It was assigned to this organization in the NPPES registry on June 13, 2023.
Where is Mobile Medical Mission PLLC located?
Mobile Medical Mission PLLC is located at 150 E Division Rd Ste 1, Oak Ridge, TN 37830. The listed phone number is (865) 205-2942.
What is Mobile Medical Mission PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mobile Medical Mission PLLC enrolled in Medicare?
Yes. Mobile Medical Mission PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mobile Medical Mission PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mobile Medical Mission 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.
When was this NPI record last updated?
The NPPES record for Mobile Medical Mission PLLC was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mobile Medical Mission Pllc · NPI 1558045336
Family Medicine organization in Oak Ridge, Tennessee. Organization record, active in the CMS NPPES registry since June 13, 2023.
## Identity
- **NPI:** 1558045336 (Entity type: Organization)
- **Enumerated:** June 13, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shere Conway, OWNER
## Practice location
- **Address:** 150 E DIVISION RD STE 1, Oak Ridge, TN 37830-6997
- **Phone:** (865) 205-2942 · **Fax:** (865) 297-4917
## 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:** June 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1558045336) · Data from the CMS NPPES public registry.