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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841949971

Travis Richard Moodie is an Internal Medicine in Knoxville, Tennessee. Graduated from Sanford School of Medicine of University of South Dakota in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
Trained at
Sanford School of Medicine of University of South Dakota
In the registry since
2022
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Practice location Address checks out

1924 Alcoa Hwy # U-114
Knoxville, TN 37920-1511
Phone: (865) 305-9340
Fax: (865) 305-9144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1841949971
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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