NPIMap

State of Tennessee

A Medicare group practice based in Chattanooga, TN: 110 NPIs enrolled under one PECOS associate control ID (PAC ID 5698687077), with 99 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5698687077The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Physical/Occupational Therapy Group in Private Pra
Enrolled in
TN
Enrollments
28
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
131In 106 places

Enrollment records 28

Enrollment IDStateProvider typeNPI
O20190816001708 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1679611560
O20220217001307 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1023160934
O20190323000092 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1184762163
O20161005001038 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1417337056
O20151112001505 TN Part A Provider - Federally Qualified Health Center (FQHC) 1073650461
O20140304001975 TN Part A Provider - Federally Qualified Health Center (FQHC) 1316098338
O20140304002157 TN Part A Provider - Federally Qualified Health Center (FQHC) 1316098247
O20140304002055 TN Part A Provider - Federally Qualified Health Center (FQHC) 1487705414
O20140304002166 TN Part A Provider - Federally Qualified Health Center (FQHC) 1447301296
O20140304002142 TN Part A Provider - Federally Qualified Health Center (FQHC) 1740331792
O20140304001576 TN Part A Provider - Federally Qualified Health Center (FQHC) 1760532444
O20140304001568 TN Part A Provider - Federally Qualified Health Center (FQHC) 1902958424
O20140304002124 TN Part A Provider - Federally Qualified Health Center (FQHC) 1437200474
O20140324000090 TN Part A Provider - Federally Qualified Health Center (FQHC) 1619028446
O20140324000017 TN Part A Provider - Federally Qualified Health Center (FQHC) 1730230558
O20140324000114 TN Part A Provider - Federally Qualified Health Center (FQHC) 1942352554
O20140324000163 TN Part A Provider - Federally Qualified Health Center (FQHC) 1437201837
O20140324000232 TN Part A Provider - Federally Qualified Health Center (FQHC) 1811049331
O20140324000040 TN Part A Provider - Federally Qualified Health Center (FQHC) 1649321464
O20130613000069 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1265570170
O20031104000309 TN Part B Supplier - Clinic/Group Practice 1487791315
O20040402001142 TN Part A Provider - Federally Qualified Health Center (FQHC) 1083767883
O20041013001259 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1275670879
O20041011000516 TN Part A Provider - Hospital 1194869297
O20070115000057 TN Part A Provider - Hospital 1306818265
O20250224002725 TN Part B Supplier - Clinic/Group Practice 1245386010
O20241227000738 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1801117379
O20230531000780 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1518010339

NPIs in this group 110

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (66)
  • Evensville, TN1
  • Fairview, TN1
  • Fayetteville, TN1
  • Savannah, TN1
  • Alamo, TN1
  • Selmer, TN1
  • Winchester, TN1
  • White Bluff, TN1
  • Waynesboro, TN1
  • Waverly, TN1
  • Wartburg, TN1
  • Union City, TN1
  • Tullahoma, TN1
  • Altamont, TN1
  • Ashland City, TN1
  • Athens, TN1
  • Tiptonville, TN1
  • Benton, TN1
  • Bolivar, TN1
  • Brownsville, TN1
  • Camden, TN1
  • Kingsport, TN1
  • Lawrenceburg, TN1
  • Lewisburg, TN1
  • Linden, TN1
  • Loudon, TN1
  • Lynchburg, TN1
  • Madisonville, TN1
  • Manchester, TN1
  • Maryville, TN1
  • Maynardville, TN1
  • Lexington, TN1
  • Pulaski, TN1
  • Portland, TN1
  • Paris, TN1
  • Murfreesboro, TN1
  • Shelbyville, TN1
  • Mountain City, TN1
  • Somerville, TN1
  • Sneedville, TN1
  • Smyrna, TN1
  • Morristown, TN1
  • Milan, TN1
  • Gallatin, TN1
  • Greeneville, TN1
  • Hartsville, TN1
  • Sevierville, TN1
  • Henderson, TN1
  • Hohenwald, TN1
  • Humboldt, TN1
  • Huntingdon, TN1
  • Rutledge, TN1
  • Rockwood, TN1
  • Jasper, TN1
  • Jacksboro, TN1
  • Rogersville, TN1
  • Huntsville, TN1
  • Ripley, TN1
  • Pikeville, TN1
  • Dandridge, TN1
  • Dickson, TN1
  • Arlington, TN1
  • New Tazewell, TN1
  • Newport, TN1
  • Hendersonville, TN1
  • Knoxville, TN1

Clinicians 99

Clinicians who reassign their Medicare benefits to this group (99) or whom Care Compare lists as members (21).

Sources for this page