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 is a Family Nurse Practitioner 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.

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Practice location Address checks out

2946 Winfield Dunn Pkwy Ste 107
Kodak, TN 37764-4306
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