Individual provider Active NPI

Christopher L Snyder, PA

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1124327549
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1938 Issued in TN
Practice address
455 N Highland Park Ave
Chattanooga, TN 37404-2016
Phone
(423) 209-6070
Fax
(423) 209-6071
NPI assigned
Mar 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1938 TN Primary

Addresses

Primary practice location

455 N Highland Park Ave
Chattanooga, TN 37404-2016

Mailing address

455 N Highland Park Ave
Chattanooga, TN 37404-2016
Phone (423) 209-6070

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000509 TN Practitioner - Physician Assistant 9032395926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Cares, Inc.Group PAC ID 6507837507, 6 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1938TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Cares, Inc. CurrentSince Aug 30, 2021 Accepting new patients

Locations

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

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

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1124327549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N HIGHLAND PARK AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042016",
            "telephone_number": "423-209-6070",
            "fax_number": "423-209-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N HIGHLAND PARK AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042016",
            "telephone_number": "423-209-6070",
            "fax_number": "423-209-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA1938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.