NPIMap

Organization Active NPI

Beacon Health Alliance PC

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1154593630
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BEACON HEALTH ALLIANCE PC
Practice address
1751 Gunbarrel Rd
Suite 100
Chattanooga, TN 37421-7177
Phone
(423) 778-9500
Fax
(423) 778-8882
NPI assigned
Mar 25, 2008
Last updated
Jun 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Sheila Manley
Title
Director of Operations
Phone
(423) 495-4806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1751 Gunbarrel Rd
Suite 100
Chattanooga, TN 37421-7177

Mailing address

PO Box 6159
Chattanooga, TN 37401-6159
Phone (423) 495-4939

Other names 1

  • Beacon Health OBGYN Associates WEP Other name

National Provider Directory

National Provider Directory
Tax ID family
Beacon Health Alliance PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1154593630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6159",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374016159",
            "telephone_number": "423-495-4939",
            "fax_number": "423-495-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 GUNBARREL RD",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217177",
            "telephone_number": "423-778-9500",
            "fax_number": "423-778-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH ALLIANCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "423-495-4806"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Health OBGYN Associates WEP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 2, 2009; 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.