Connie Michele Pierce, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14765 Issued in TN

Practice address

1720 Gunbarrel Rd Ste 400
Chattanooga, TN 37421-3192

Phone

(423) 499-4100

Fax

(423) 499-1945

NPI assigned

Mar 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galen Medical Group, PC 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057

  Family, GA, TN

  Medicare reassignment Care Compare group NPD
• Galen Medical Group PC

  • Non-Pharmacy Dispensing Site
  • Chattanooga, TN
  • NPI 1891248092
  NPD (past)
• The Allergy & Asthma Group P.C.

  • Allergy & Immunology Physician
  • Chattanooga, TN
  • NPI 1730134180
  NPD (past)
• John W. Looper Jr. Speech & Hearing Clinic

  • Speech-Language Pathologist
  • Dalton, GA
  • NPI 1720098536
  NPD (past)

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1164745261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-308-0280",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GUNBARREL RD STE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213192",
            "telephone_number": "423-499-4100",
            "fax_number": "423-499-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E 3rd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042745",
            "country_code": "US",
            "telephone_number": "423-499-4100",
            "fax_number": "423-499-1945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2253 Chambliss Ave NW Ste 401",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113861",
            "country_code": "US",
            "telephone_number": "423-499-4100",
            "fax_number": "423-499-1945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4980 Alpha Ln",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373435470",
            "country_code": "US",
            "telephone_number": "423-499-4100",
            "fax_number": "423-499-1945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4976 Alpha Ln",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373435470",
            "country_code": "US",
            "telephone_number": "423-308-0280",
            "fax_number": "423-308-0281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Professional Blvd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202506",
            "country_code": "US",
            "telephone_number": "706-217-6950",
            "fax_number": "706-217-6967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Crye Leike Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307424056",
            "country_code": "US",
            "telephone_number": "706-648-4336",
            "fax_number": "706-861-4597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CONNIE",
        "middle_name": "MICHELE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001111",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Albury Pickett, M.D.
• Patricia Ann Pickett, REGISTERED NURSE
• Venkata Pidaparthi
• Carter Alexis Pieper
• Dylan Pieper, DPT
• Jessica Pierce, MS, LAT, ATC, CES
• Kaylin Marisa Pierce, OD
• John Pierson, PTA
• Megan Ann Pietras, RBT
• Shanae Love Pietrzycki, LCSW

• All providers in Chattanooga, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.