Active NPI
Tri-State Gastroenterology Associates, PLLC
- Gastroenterology Physician
- Chattanooga, TN
National Provider Identifier
1063802734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 36425
- Legal business name
- TRI-STATE GASTROENTEROLOGY ASSOCIATES, PLLC
- Practice address
- 935 Spring Creek Rd
Suite 203
Chattanooga, TN 37412-3993 - Phone
- (423) 760-4360
- Fax
- (423) 760-4361
- NPI assigned
- Feb 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nikhil S Shah, MD
- Title
- Owner
- Phone
- (931) 284-9660
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 36425 | TN | Primary |
| Gastroenterology Physician | 207RG0100X | |||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
935 Spring Creek Rd
Suite 203
Chattanooga, TN 37412-3993
Mailing address
2106 Ooltewah Ringgold Rd
Ooltewah, TN 37363-9345
Phone (931) 284-9660
National Provider Directory
National Provider DirectoryLocations
935 Spring Creek Rd
Ste 203
Chattanooga, TN 37412
Phone (423) 760-4360
Interoperability endpoints
- https://api.platform.athenahealth.com/10866/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1063802734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 OOLTEWAH RINGGOLD RD",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373639345",
"telephone_number": "931-284-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 SPRING CREEK RD",
"address_2": "SUITE 203",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374123993",
"telephone_number": "423-760-4360",
"fax_number": "423-760-4361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-STATE GASTROENTEROLOGY ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-02",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "NIKHIL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-284-9660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "36425",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.