Individual provider Active NPI

Porche' Warren Adams, DO, MPH

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1063974186
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5243 Issued in TN
Practice address
935 Spring Creek Rd Ste 100
Chattanooga, TN 37412-3994
Phone
(423) 510-0250
Fax
(423) 510-9524
NPI assigned
Apr 5, 2019
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5243 TN Primary

Addresses

Primary practice location

935 Spring Creek Rd Ste 100
Chattanooga, TN 37412-3994

Mailing address

935 Spring Creek Rd Ste 100
Chattanooga, TN 37412-3994
Phone (423) 510-0250

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928002934 TN Practitioner - Obstetrics/Gynecology 0345572152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5243TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Services Chattanooga PC CurrentSince Sep 1, 2023 Accepting new patients
Womens Health Services, Chattanooga PC Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
Womens Health Services Chattanooga PC Obstetrics & Gynecology Current Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients

Locations

935 Spring Creek Rd
Ste 100
Chattanooga, TN 37412
Phone (423) 206-2655

Interoperability endpoints

  • Direct secure messaging: johnsadamsmd.porcheadams@142019.advancedmd-direct.com
  • Direct secure messaging: porsche.adams.1@23211.direct.athenahealth.com

Organizations & group practices 4

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1063974186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123994",
            "telephone_number": "423-510-0250",
            "fax_number": "423-510-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123994",
            "telephone_number": "423-510-0250",
            "fax_number": "423-510-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "PORCHE'",
        "middle_name": "WARREN",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.