Active NPI
Charles Robert Bosshardt, MD
- Gastroenterology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 55647
- Practice address
- 2515 Desales Ave Ste 206
Chattanooga, TN 37404-1100 - Phone
- (423) 698-8101
- Fax
- (423) 698-3450
- NPI assigned
- Mar 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 55647 | TN | Primary |
| Gastroenterology Physician | 207RG0100X | 77562 | GA |
Addresses
Primary practice location
2515 Desales Ave Ste 206
Chattanooga, TN 37404-1100
Mailing address
4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355
Other practice location 1
1651 Gunbarrel Rd Ste 102
Chattanooga, TN 37421-3289
Phone (423) 308-0390
Other practice location 2
4700 Battlefield Pkwy Ste 210
Ringgold, GA 30736-5168
Phone (423) 698-8101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Mercer University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Crye Leike Dr
Fort Oglethorpe, GA 30742-4056
Phone (706) 648-4336
2200 E 3Rd St
S 200
Chattanooga, TN 37404-2716
Phone (423) 643-2500
Hospital & facility affiliations
- Memorial Healthcare System, Inc
- Commonspirit-Memorial Hospital-North Georgia
- Parkridge Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 511 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 352 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77562 | GA | MD | Gastroenterology Physician |
| 55647 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Medical Group, PC | Gastroenterology | Current | Accepting new patients |
| Galen Medical Group PC | Current | Accepting new patients |
Locations
101 Crye Leike Dr
Ft Oglethorpe, GA 30742
Phone (706) 648-4336
4700 Battlefield Pkwy
Ste 300
Ringgold, GA 30736
Phone (706) 406-3900
4700 Battlefield Pkwy
Ste 130
Ringgold, GA 30736
Phone (706) 841-4214
4700 Battlefield Pkwy
Ste 210
Ringgold, GA 30736
Phone (423) 698-8101
2515 Desales Ave
Ste 206
Chattanooga, TN 37404
Phone (423) 629-6550
2200 E 3rd St
Ste 200
Chattanooga, TN 37404
Phone (423) 643-2500
1651 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 308-0292
1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904
4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280
Networks
- MS PPO
- FL HMO D-SNP
- KY PPO C-SNP
- FL HMO
- TN PPO
- MS PPO D-SNP
- MS PPO C-SNP
- TN PPO C-SNP
- FL HMO C-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- KY PPO
- AL HMO D-SNP
- AL HMO
Interoperability endpoints
- charles.bosshardt.1@14399.direct.athenahealth.com
- cbosshardt134725@direct.stlukeshealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Chattanooga, TN
- NPI 1891248092
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
- General Acute Care Hospital
- Ringgold, GA
- NPI 1356860621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1013215078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4976 ALPHA LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435470",
"telephone_number": "423-497-5355",
"fax_number": "423-308-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 DESALES AVE STE 206",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041100",
"telephone_number": "423-698-8101",
"fax_number": "423-698-3450"
}
],
"practiceLocations": [
{
"address_1": "1651 Gunbarrel Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374213289",
"country_code": "US",
"telephone_number": "423-308-0390",
"fax_number": "423-308-0395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Battlefield Pkwy Ste 210",
"address_purpose": "LOCATION",
"city": "Ringgold",
"state": "GA",
"postal_code": "307365168",
"country_code": "US",
"telephone_number": "423-698-8101",
"fax_number": "423-698-3450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSSHARDT",
"first_name": "CHARLES",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-01",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "55647",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "77562",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.