Individual provider Active NPI

Ellen Clara Cleland, MD

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1124525423
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63627 Issued in TN
Practice address
1949 Gunbarrel Rd Ste 200
Chattanooga, TN 37421-7133
Phone
(423) 648-8110
Fax
(423) 443-4297
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63627 TN Primary

Addresses

Primary practice location

1949 Gunbarrel Rd Ste 200
Chattanooga, TN 37421-7133

Mailing address

1949 Gunbarrel Rd Ste 206
Chattanooga, TN 37421-7133
Phone (423) 495-3671

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
I20210910002718 TN Practitioner - Family Practice 6406106855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Liberty Healthcare PartnersGroup PAC ID 1153792734, 2 clinicians

Practice addresses (Care Compare)

6740 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 498-5839

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine Current Accepting new patients
Liberty Healthcare Partners CurrentSince Jan 23, 2023 Accepting new patients
Memorial Health Partners Foundation, Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Sentef Medical Center Family Medicine PastSince Jun 15, 2012 Accepting new patients

Locations

6740 Lee Hwy
Chattanooga, TN 37421
Phone (423) 498-5839

1949 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 855-5861

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1949 Gunbarrel Rd
Ste 202
Chattanooga, TN 37421
Phone (423) 648-8110

Interoperability endpoints

  • Direct secure messaging: ellen.cleland.1@30528.direct.athenahealth.com
  • Direct secure messaging: ellencleland@tnmhpf.allscriptsdirect.net

Organizations & group practices 5

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1124525423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD STE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217133",
            "telephone_number": "423-495-3671",
            "fax_number": "423-495-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217133",
            "telephone_number": "423-648-8110",
            "fax_number": "423-443-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLELAND",
        "first_name": "ELLEN",
        "middle_name": "CLARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "63627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.