Organization Active NPI

The Plastic Surgery Group,PC

  • Plastic and Reconstructive Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1023357639
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
26787 Issued in TN
Legal business name
THE PLASTIC SURGERY GROUP,PC
Practice address
7380 Volkswagen Dr
Suite 130
Chattanooga, TN 37416-1755
Phone
(423) 756-7134
Fax
(423) 763-4571
NPI assigned
Feb 4, 2013
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Rebecca A Simpson
Title
Administrator
Phone
(423) 756-7134

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 15654 TN
Surgery of the Hand (Surgery) Physician 2086S0105X 26787 TN
Surgery of the Hand (Surgery) Physician 2086S0105X 28796 TN
Surgery of the Hand (Surgery) Physician 2086S0105X 36502 TN
Plastic and Reconstructive Surgery Physician 2086S0122X 26787 TN Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 18170 TN
Plastic and Reconstructive Surgery Physician 2086S0122X 38782 TN
Plastic and Reconstructive Surgery Physician 2086S0122X 28796 TN
Plastic and Reconstructive Surgery Physician 2086S0122X 36502 TN

Addresses

Primary practice location

7380 Volkswagen Dr
Suite 130
Chattanooga, TN 37416-1755

Mailing address

901 Riverfront Parkway
Ste 100
Chattanooga, TN 37402-2102
Phone (423) 756-7134

Other identifiers 2

IdentifierTypeStateIssuer
CL7313OtherTNRAILROAD MEDICARE
2006636OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1023357639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIVERFRONT PARKWAY",
            "address_2": "STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022102",
            "telephone_number": "423-756-7134",
            "fax_number": "423-763-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 VOLKSWAGEN DR",
            "address_2": "SUITE 130",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161755",
            "telephone_number": "423-756-7134",
            "fax_number": "423-763-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY GROUP,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-756-7134"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TN",
            "license": "15654",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TN",
            "license": "26787",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TN",
            "license": "28796",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TN",
            "license": "36502",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "26787",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "18170",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "38782",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "28796",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "36502",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL7313",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2006636",
            "state": "TN"
        }
    ],
    "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 Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.