Healthcare Provider Details

I. General information

NPI: 1548194558
Provider Name (Legal Business Name): HEALTHSTAR PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 E ANDREW JOHNSON HWY
GREENEVILLE TN
37745-0965
US

IV. Provider business mailing address

420 W MORRIS BLVD STE 400A
MORRISTOWN TN
37813-2262
US

V. Phone/Fax

Practice location:
  • Phone: 423-922-9224
  • Fax: 423-922-9939
Mailing address:
  • Phone: 423-318-6617
  • Fax: 423-581-2828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: ODESSA BRABSON
Title or Position: CEO
Credential:
Phone: 423-581-5925