Active NPI
Eric Wai Kiet Siv
- Physician Assistant
- Chattanooga, TN
National Provider Identifier
1124855622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1651 Gunbarrel Rd Ste 103
Chattanooga, TN 37421-3289 - Phone
- (855) 871-0841
- NPI assigned
- Sep 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1651 Gunbarrel Rd Ste 103
Chattanooga, TN 37421-3289
Mailing address
7446 Shallowford Rd Ste 114
Chattanooga, TN 37421-2352
Phone (855) 871-0841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1124855622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7446 SHALLOWFORD RD STE 114",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212352",
"telephone_number": "855-871-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 GUNBARREL RD STE 103",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213289",
"telephone_number": "855-871-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIV",
"first_name": "ERIC",
"middle_name": "WAI KIET",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-18",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"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 Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.