Active NPI
Carrie Suzanne Durante, PA-C
- Physician Assistant
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2071
- Practice address
- 2200 E 3Rd St Ste 200
Chattanooga, TN 37404-2745 - Phone
- (423) 643-2500
- Fax
- (423) 305-7822
- NPI assigned
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Chattanooga, TN
- NPI 1891248092
-
- Gastroenterology Physician
- Chattanooga, TN
- NPI 1295771095
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Galen Medical Group, PC
Practice addresses (Care Compare)
1651 Gunbarrel Rd
Chattanooga, TN 37421-3291
4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 308-0280
4980 Alpha LN
Hixson, TN 37343-5470
Phone (423) 870-2450
Hospital & facility affiliations
- Memorial Healthcare System, Inc
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141009001684 | TN | Practitioner - Physician Assistant | 1557520640 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6337 | GA | MD | Physician Assistant |
| 2071 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Medical Group PC | Current | Accepting new patients | |
| J & a Enterprises Inc | Past | Accepting new patients |
Locations
2200 E 3rd St
Ste 200
Chattanooga, TN 37404
Phone (423) 643-2500
4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6337 | GA | |
| Physician Assistant | 363A00000X | 2071 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2200 E 3Rd St Ste 200
Chattanooga, TN 37404-2745
Mailing address
4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2023.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1114299484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4976 ALPHA LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435470",
"telephone_number": "423-497-5355",
"fax_number": "423-308-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 E 3RD ST STE 200",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042745",
"telephone_number": "423-643-2500",
"fax_number": "423-305-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURANTE",
"first_name": "CARRIE",
"middle_name": "SUZANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "6337",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2071",
"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 Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.