NPIMap

Organization Active NPI

Chattanooga Gastroenterology, PC

  • Gastroenterology Physician
  • Chattanooga, TN
National Provider Identifier
1124024534
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25915 Issued in TN
Legal business name
CHATTANOOGA GASTROENTEROLOGY, PC
Practice address
2341 McCallie Avenue
Plaza Three, Suite 400
Chattanooga, TN 37404
Phone
(423) 493-9151
Fax
(423) 493-9551
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mrs. Jacquelyn M Sadowitz
Title
Practice Manager
Phone
(423) 493-9151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 25915 TN Primary

Addresses

Primary practice location

2341 McCallie Avenue
Plaza Three, Suite 400
Chattanooga, TN 37404

Mailing address

2341 McCallie Avenue
Plaza Three, Suite 400
Chattanooga, TN 37404
Phone (423) 493-9151

National Provider Directory

National Provider Directory

Locations

102 Gross Crescent Cir
Ste 202
Ft Oglethorpe, GA 30742
Phone (706) 858-2101

2341 McCallie Ave
Ste 400
Chattanooga, TN 37404
Phone (423) 493-9151

2158 Northgate Park Ln
Ste 402
Chattanooga, TN 37415
Phone (423) 493-9151

2341 McCallie Ave
#3403
Chattanooga, TN 37404

2051 Hamill Rd
Ste 201
Hixson, TN 37343
Phone (423) 877-2844

Practitioners & affiliated clinicians

Practitioners 8

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": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1124024534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVENUE",
            "address_2": "PLAZA THREE, SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-493-9151",
            "fax_number": "423-493-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVENUE",
            "address_2": "PLAZA THREE, SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-493-9151",
            "fax_number": "423-493-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "SADOWITZ",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-493-9151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "25915",
            "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 Oct 25, 2007; 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.