Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Medical Services PLLC

Organization Family Nurse Practitioner · NPI 1053610717

Mountain Medical Services PLLC provides Family Nurse Practitioner services in Kodak, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2946 Winfield Dunn Pkwy Ste 107
Kodak, TN 37764-4306 Not confirmed with CMS for 11 years — call before visiting
Phone: (865) 933-9950
Fax: (865) 465-3937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN 13355 (TN)

Record details

NPI number1053610717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Barnes — Doctor · (865) 933-9950
NPI enumeratedMarch 21, 2011
Last updated in NPPESJune 9, 2015
Mailing address2946 Winfield Dunn Pkwy Ste 107, Kodak, TN 37764-4306

Other providers in Kodak