Individual provider Active NPI

Yuri Sawa McClendon, M.D.

  • Family Medicine Physician
  • Soddy Daisy, TN
National Provider Identifier
1124405154
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56592 Issued in TN
Practice address
9445 Dayton Pike
Soddy Daisy, TN 37379
Phone
(423) 778-8500
NPI assigned
Apr 28, 2015
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 105144261 TN
Family Medicine Physician 207Q00000X 56592 TN Primary

Addresses

Primary practice location

9445 Dayton Pike
Soddy Daisy, TN 37379

Mailing address

9445 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 778-8500

Other practice location 1

1100 East Thrid St
Chattanooga, TN 37415
Phone (423) 778-8837

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022000851 TN Practitioner - Family Practice 7416278080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

9448 Dayton Pike
Soddy Daisy, TN 37379-4750
Phone (423) 778-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105144261TNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 18, 2018 Accepting new patients
Chattanooga Hamilton County Hospital Authority Family Medicine CurrentSince Aug 18, 2018 Accepting new patients
Erlanger Health Family Medicine CurrentSince Jul 24, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 24, 2023 Accepting new patients

Locations

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

9448 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 266-7111

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1124405154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 DAYTON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "37379",
            "telephone_number": "423-778-8500",
            "fax_number": "423-778-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 DAYTON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "37379",
            "telephone_number": "423-778-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 East Thrid St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37415",
            "country_code": "US",
            "telephone_number": "423-778-8837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "YURI",
        "middle_name": "SAWA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "105144261",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "56592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soddy Daisy, TN

Sources for this page

Verify at the official NPI Registry.