Stacy Nicole Nelms, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000003749 Issued in TN

Practice address

2415 McCallie Avenue
Chattanoga, TN 37404

Phone

(423) 624-2696

Fax

(423) 697-2025

NPI assigned

Oct 16, 2006

Last updated

Oct 30, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Stacy Nicole Buff Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chattanooga Orthopaedic Group, PCGroup PAC ID 1254229156, 75 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

92.6

Promoting interoperability

93.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.nelms.1@519.direct.athenahealth.com

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.

• Chattanooga Orthopaedic Group PC

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
  • NPI 1548203821

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Chattanooga Orthopaedic Group, PC

  dba Center for Sports Medicine and Orthopaedics

  • Orthopaedic Surgery Physician
  • Dayton, TN
  • NPI 1013899038
  NPD
• Chattanooga Orthopaedic Group, PC

  dba Center for Sports Medicine and Orthopaedics

  • Physical Therapist
  • Cleveland, TN
  • NPI 1033908090
  NPD (past)
• Chattanooga Orthopaedic Group, PC

  dba Center for Sports Medicine and Orthopaedics

  • Orthopaedic Surgery Physician
  • Hixson, TN
  • NPI 1619165834

  Physical Therapist

  NPD (past)
• Chattanooga Orthopaedic Group, PC

  dba Center for Sports Medicine and Orthopaedics

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1629267158
  NPD (past)
• Chattanooga Orthopaedic Group, PC

  dba Center for Sports Medicine and Orthopaedics

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1811427032
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1053401208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVENUE",
            "city": "CHATTANOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-624-2696",
            "fax_number": "423-697-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVENUE",
            "city": "CHATTANOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-624-2696",
            "fax_number": "423-697-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS",
        "first_name": "STACY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000003749",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0100",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3067481",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "BUFF",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.