Individual provider Active NPI

James Michael Sizemore Jr., MD

  • Infectious Disease Physician
  • Chattanooga, TN
National Provider Identifier
1124021340
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
040177 Issued in TN
Practice address
1000 East Third Street
Suite 302
Chattanooga, TN 37403-4115
Phone
(423) 664-5165
Fax
(423) 664-5164
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 040177 TN Primary
Infectious Disease Physician 207RI0200X 060877 GA

Addresses

Primary practice location

1000 East Third Street
Suite 302
Chattanooga, TN 37403-4115

Mailing address

1000 East Third Street
Suite 302
Chattanooga, TN 37403-4115
Phone (423) 664-5165

Other identifiers 10

IdentifierTypeStateIssuer
150360938AMedicaidGA
100049672OtherTNPHP
1738158MedicaidLA
1891884292OtherGROUP N P I
3333248MedicaidTN
5902601MedicaidNC
0480277OtherTNCIGNA
0007197040OtherTNAETNA
2181280OtherTNFIRST HEALTH
4111600OtherTNBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050929000913 TN Practitioner - Infectious DiseasePractitioner - Internal Medicine 6800888306 Reassigns benefits to 2 organizations
I20110719000624 GA Practitioner - Infectious Disease 6800888306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Cares, Inc.Group PAC ID 6507837507, 6 clinicians
Id Group, PLLCGroup PAC ID 2466477765, 2 clinicians

Practice addresses (Care Compare)

1000 E 3Rd St
Suite 300
Chattanooga, TN 37403-2153
Phone (423) 265-2273

1000 E 3Rd St
Suite 302
Chattanooga, TN 37403-2155
Phone (423) 664-5165

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40177TNMDPharmacist
060877GAMDInfectious Disease Physician
040177TNMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Cares, Inc. CurrentSince Sep 1, 2005 Accepting new patients
Chattanooga Cares, Inc. CurrentSince Sep 1, 2005 Accepting new patients
Id Group, PLLC CurrentSince Sep 6, 2005 Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

4001 Rossville Blvd
Chattanooga, TN 37407
Phone (423) 648-9915

960 E 3rd St
Ste 411
Chattanooga, TN 37403
Phone (423) 447-4363

1000 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 265-2273

1000 E 3rd St
Ste 302
Chattanooga, TN 37403
Phone (423) 265-5044

Interoperability endpoints

  • Direct secure messaging: jsizemore576811@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chattanooga Cares, IncChattanooga, TN, CCN 441002 Federally qualified health center Corporate Officer Jan 1, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1124021340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST THIRD STREET",
            "address_2": "SUITE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374034115",
            "telephone_number": "423-664-5165",
            "fax_number": "423-664-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST THIRD STREET",
            "address_2": "SUITE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374034115",
            "telephone_number": "423-664-5165",
            "fax_number": "423-664-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "040177",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "060877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150360938A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100049672",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1738158",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP N P I",
            "identifier": "1891884292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333248",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902601",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0480277",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007197040",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2181280",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4111600",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.