Organization Active NPI

Optima Healthcare

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1104022037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021556 Issued in TN
Legal business name
OPTIMA HEALTHCARE
Practice address
3475 Brainerd Rd
Chattanooga, TN 37411-3506
Phone
(423) 624-7892
Fax
(423) 624-8331
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bernard L Parham Sr, MD
Title
Owner
Phone
(423) 624-7892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 021556 TN Primary

Addresses

Primary practice location

3475 Brainerd Rd
Chattanooga, TN 37411-3506

Mailing address

515 Airport Rd Ste 101
Chattanooga, TN 37421-3525
Phone (423) 499-5666

National Provider Directory

National Provider Directory

Locations

515 Airport Rd
Ste 101
Chattanooga, TN 37421

3475 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 265-6706

3475 Brainerd Rd
Ste B
Chattanooga, TN 37411
Phone (423) 624-7892

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104022037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 AIRPORT RD STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213525",
            "telephone_number": "423-499-5666",
            "fax_number": "423-499-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113506",
            "telephone_number": "423-624-7892",
            "fax_number": "423-624-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARHAM SR",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-624-7892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "021556",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.