Individual provider Active NPI

Kelley L Hill, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1023148343
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7030 Issued in TN
Practice address
979 East Third Street
Suite C-520
Chattanooga, TN 37403-2137
Phone
(423) 778-5661
Fax
(423) 778-5664
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000007030 TN
Family Nurse Practitioner 363LF0000X 7030 TN Primary

Addresses

Primary practice location

979 East Third Street
Suite C-520
Chattanooga, TN 37403-2137

Mailing address

PO Box 11589
Chattanooga, TN 37401-2589
Phone (423) 778-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000410 TN Practitioner - Nurse Practitioner 8426066671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2253 Chambliss Ave NW
Suite 301
Cleveland, TN 37311-3861
Phone (423) 476-5002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7030TNMDClinical Social Worker
APN0000007030TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority Current Accepting new patients
Bradley Physician Services, LLC Family CurrentSince Dec 9, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince May 21, 2011 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients
Erlanger Health Past Accepting new patients

Locations

251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste C520
Chattanooga, TN 37403
Phone (423) 778-4465

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2253 Chambliss Ave NW
Ste 301
Cleveland, TN 37311
Phone (423) 476-4466

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: kelley.hill.1@31613.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1023148343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11589",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012589",
            "telephone_number": "423-778-3274",
            "fax_number": "423-778-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 EAST THIRD STREET",
            "address_2": "SUITE C-520",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032137",
            "telephone_number": "423-778-5661",
            "fax_number": "423-778-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KELLEY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000007030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.