Organization Active NPI

Beacon Health Alliance PC

  • Obstetrics & Gynecology Physician
  • Hixson, TN
National Provider Identifier
1174795645
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
2051 Hamill Rd
Suite 110B
Hixson, TN 37343-6614
Phone
(423) 778-9500
Fax
(423) 778-9575
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 Physician 207V00000X NU Primary

Addresses

Primary practice location

2051 Hamill Rd
Suite 110B
Hixson, TN 37343-6614

Mailing address

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

Other names 1

  • Beacon Health OBGYN Associates HIX Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0309982Beacon Health Alliance, PC2051 Hamill Road, Ste 103, Hixson, TN 37343ComplianceMay 3, 2027

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": "1174795645",
    "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": "2051 HAMILL RD",
            "address_2": "SUITE 110B",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436614",
            "telephone_number": "423-778-9500",
            "fax_number": "423-778-9575"
        }
    ],
    "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": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Health OBGYN Associates HIX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hixson, 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.
  • 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.