MEDICARE: MR. CHRISTOPHER BRENT MASON PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	35884	TN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	GAA-NP002196	GA

General Provider Information

NPI Number	:	1851155279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER BRENT MASON PMHNP-BC

Provider Business Mailing Address
First Line	:	265 BROOKVIEW CENTRE WAY STE 203
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-4053
Country	:	US
Telephone Number	:	865-293-5549
Fax Number	:	865-347-5181

Provider Business Practice Location Address
First Line	:	2750 EXECUTIVE PARK NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-2722
Country	:	US
Telephone Number	:	865-293-5549
Fax Number	:	865-347-5181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	09/17/2025

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