Individual provider Active NPI

Charles A Portera Sr., MD

  • Gynecologic Oncology Physician
  • Chattanooga, TN
National Provider Identifier
1154311843
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD0000007255 Issued in TN
Practice address
721 Glenwood Dr
Suite 560W
Chattanooga, TN 37404-1106
Phone
(423) 622-5500
Fax
(423) 629-7572
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MD0000007255 TN Primary

Addresses

Primary practice location

721 Glenwood Dr
Suite 560W
Chattanooga, TN 37404-1106

Mailing address

721 Glenwood Dr
Suite 560W
Chattanooga, TN 37404-1106
Phone (423) 622-5500

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000007255TNMDGynecologic Oncology Physician
7255TNMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154311843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "SUITE 560W",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041106",
            "telephone_number": "423-622-5500",
            "fax_number": "423-629-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR",
            "address_2": "SUITE 560W",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041106",
            "telephone_number": "423-622-5500",
            "fax_number": "423-629-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTERA",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "MD0000007255",
            "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 Jul 13, 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.

Verify at the official NPI Registry.