Organization Active NPI

DC Ventures

  • General Practice Physician
  • Chattanooga, TN
National Provider Identifier
1023894623
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DC VENTURES
Practice address
6221 Shallowford Rd Ste 100
Chattanooga, TN 37421-1972
Phone
(423) 541-9455
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Authorized official

Name
Dr. Candice CrawfordNPI 1700133394
Title
Owner
Phone
(404) 839-4566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6221 Shallowford Rd Ste 100
Chattanooga, TN 37421-1972

Mailing address

6221 Shallowford Rd Ste 102
Chattanooga, TN 37421-1972
Phone (404) 839-4566

Other names 1

  • Bryn Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231229002296 TN Part B Supplier - Clinic/Group Practice 7719337989 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

6221 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 541-9455

6221 Shallowford Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 541-9455

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736640000000",
    "number": "1023894623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972",
            "telephone_number": "404-839-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972",
            "telephone_number": "423-541-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-839-4566",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryn Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.