Individual provider Active NPI

Robert R Sciulli Jr., PA-C

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1033154398
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1604 Issued in TN
Practice address
281 N Lyerly St Ste 200
Chattanooga, TN 37404-2749
Phone
(423) 698-0850
Fax
(423) 698-0511
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1604 TN Primary

Addresses

Primary practice location

281 N Lyerly St Ste 200
Chattanooga, TN 37404-2749

Mailing address

281 N Lyerly St Ste 200
Chattanooga, TN 37404-2749
Phone (423) 698-0850

Other practice location 1

4957 Swinyar Dr Ste 101
Ooltewah, TN 37363-2205
Phone (423) 362-7777

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
I20081014000484 TN Practitioner - Physician Assistant 3870494313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

281 N Lyerly St
Suite 200
Chattanooga, TN 37404-2728
Phone (423) 698-0850

281 N Lyerly St
Suite 200
Chattanooga, TN 37404-2749
Phone (423) 698-0850

4957 Swinyar Dr
Suite 101
Ooltewah, TN 37363-2205
Phone (423) 698-0850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Jan 22, 2024 Accepting new patients
Galen Medical Group PC PastSince Jul 24, 2022 Accepting new patients

Locations

2339 McCallie Ave
Ste 309
Chattanooga, TN 37404
Phone (423) 698-0850

281 N Lyerly St
Ste 200
Chattanooga, TN 37404
Phone (423) 698-0850

862 Callen Ln NW
Ste 110
Cleveland, TN 37312
Phone (423) 331-5025

101 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 232-6120

2202 N John B Dennis Hwy
Ste 2
Kingsport, TN 37660

4957 Swinyar Dr
Ste 101
Ooltewah, TN 37363
Phone (423) 362-7777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1033154398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042749",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042749",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4957 Swinyar Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373632205",
            "country_code": "US",
            "telephone_number": "423-362-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIULLI",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.