Individual provider Active NPI

Stephen James Soufleris, M.D.

  • Gastroenterology Physician
  • Chattanooga, TN
National Provider Identifier
1124482518
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
58659 Issued in TN
Practice address
2200 E 3Rd St Ste 200
Chattanooga, TN 37404-2745
Phone
(423) 643-2500
Fax
(423) 305-7822
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58659 TN
Gastroenterology Physician 207RG0100X 58659 TN Primary

Addresses

Primary 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

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
I20230717002648 TN Practitioner - Gastroenterology 4385943836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

2200 E 3Rd St
S 200
Chattanooga, TN 37404-2716
Phone (423) 643-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy414
Upper gastrointestinal (GI) endoscopy for acid reflux391

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Medical Group, PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Galen Medical Group PC CurrentSince Jul 9, 2023 Accepting new patients

Locations

2200 E 3rd St
Ste 200
Chattanooga, TN 37404
Phone (423) 643-2500

2515 Desales Ave
Ste 206
Chattanooga, TN 37404
Phone (423) 629-6550

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

1651 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 308-0292

4980 Alpha Ln
Hixson, TN 37343
Phone (423) 702-9218

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

9309 Apison Pike
Ooltewah, TN 37363
Phone (423) 551-3562

Interoperability endpoints

  • Direct secure messaging: stephensoufleris@tnmhpf.allscriptsdirect.net

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 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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1124482518",
    "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": "SOUFLERIS",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-07-07",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "58659",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "58659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.