Organization Active NPI

Chattanooga Lung Specialists, LLC

  • Pulmonary Disease Physician
  • Chattanooga, TN
National Provider Identifier
1154823078
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
41412 Issued in TN
Legal business name
CHATTANOOGA LUNG SPECIALISTS, LLC
Practice address
6714 Heritage Business CT
Chattanooga, TN 37421-2596
Phone
(423) 693-9477
NPI assigned
Mar 7, 2018
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Manie Ravee, MD
Title
Medical Director/Physican
Phone
(423) 693-9477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 41412 TN Primary

Addresses

Primary practice location

6714 Heritage Business CT
Chattanooga, TN 37421-2596

Mailing address

6714 Heritage Business CT
Chattanooga, TN 37421-2596

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180921002627 TN Part B Supplier - Clinic/Group Practice 6406107994 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

6714 Heritage Business Ct
Chattanooga, TN 37421
Phone (423) 498-5864

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17695/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1154823078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 HERITAGE BUSINESS CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 HERITAGE BUSINESS CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212596",
            "telephone_number": "423-693-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA LUNG SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "RAVEE",
        "authorized_official_first_name": "MANIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PHYSICAN",
        "authorized_official_telephone_number": "423-693-9477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "41412",
            "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 Mar 22, 2018; 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.