Organization Active NPI

TNT Medical Enterprises, LLC

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1104331420
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TNT MEDICAL ENTERPRISES, LLC
Practice address
609 Magnolia Vale Dr
Chattanooga, TN 37419-2185
Phone
(423) 987-3702
Fax
(423) 825-1992
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Terri Jones, MDNPI 1982676623
Title
Owner/Medical Doctor
Phone
(423) 987-3702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

609 Magnolia Vale Dr
Chattanooga, TN 37419-2185

Mailing address

609 Magnolia Vale Dr
Chattanooga, TN 37419-2185
Phone (423) 987-3702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180514003010 TN Part B Supplier - Clinic/Group Practice 0042574329 Receives reassigned benefits from 5 practitioners
Practice locations: Chattanooga, TN
O20180523001503 GA Part B Supplier - Clinic/Group Practice 0042574329 Receives reassigned benefits from 6 practitioners
Practice locations: Rossville, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1104331420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MAGNOLIA VALE DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192185",
            "telephone_number": "423-987-3702",
            "fax_number": "423-825-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MAGNOLIA VALE DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374192185",
            "telephone_number": "423-987-3702",
            "fax_number": "423-825-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNT MEDICAL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "423-987-3702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.