Organization Active NPI

Womens Health Services, Chattanooga PC

  • Obstetrics Physician
  • Chattanooga, TN
National Provider Identifier
1154585198
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD5026778 Issued in TN
Legal business name
WOMENS HEALTH SERVICES, CHATTANOOGA PC
Practice address
935 Spring Creek Rd Ste 100
Chattanooga, TN 37412-3994
Phone
(423) 510-0250
Fax
(423) 510-9524
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Dr. Matthew A Roberts, D.O.NPI 1700878139
Title
President
Phone
(423) 910-0896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X MD5026778 TN Primary

Addresses

Primary practice location

935 Spring Creek Rd Ste 100
Chattanooga, TN 37412-3994

Mailing address

935 Spring Creek Rd Ste 100
Chattanooga, TN 37412-3994
Phone (423) 510-0250

Other identifiers 2

IdentifierTypeStateIssuer
3803684MedicaidTN
G31194OtherTNUPIN

Other names 1

  • Dr. John S. Adams M.D Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000639 TN Part B Supplier - Clinic/Group Practice 0941283873 Receives reassigned benefits from 3 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chattanooga, TN; Ooltewah, TN

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Womens Health Serv Chatt PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 Pemberton Dr
Salisbury, MD 21801

929 Spring Creek Rd
Ste 202
Chattanooga, TN 37412
Phone (423) 855-4044

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1154585198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123994",
            "telephone_number": "423-510-0250",
            "fax_number": "423-510-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123994",
            "telephone_number": "423-510-0250",
            "fax_number": "423-510-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH SERVICES, CHATTANOOGA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2024-05-30",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-910-0896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "MD5026778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3803684",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G31194",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. John S. Adams M.D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.