East Tennessee Primary Care, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27162 Issued in TN

Legal business name

EAST TENNESSEE PRIMARY CARE, INC

Practice address

3300 Wilcox Blvd.
Chattanooga, TN 37411

Phone

(423) 803-9180

Fax

(423) 803-9181

NPI assigned

Jan 28, 2008

Last updated

Jan 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Winnifred Dunbar-Davies, MDNPI 1487732848

Title

Medical Doctor/Owner

Phone

(423) 778-5584

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9236/brand/1/csg/1/fhir/r4

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.

• Winnifred Jenneh Dunbar-Davies, MD

  • Family Medicine Physician
  • Chattanooga, TN
  • NPI 1487732848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1184801631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80982",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37414",
            "telephone_number": "423-495-4349",
            "fax_number": "423-495-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WILCOX BLVD.",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37411",
            "telephone_number": "423-803-9180",
            "fax_number": "423-803-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "DUNBAR-DAVIES",
        "authorized_official_first_name": "WINNIFRED",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "423-778-5584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "27162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "44104835",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TENNESSEE",
            "identifier": "4104835",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5487562",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC OF THE RIVER VALLEY",
            "identifier": "TN0101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Ridge Bracing, Inc.
• East Ridge Eye Center, PC
• East Ridge Eye Center, PC
• East Tennessee Children's Hospital Primary Care Center, Inc. (Dolly Parton Children's Hospital Spring Creek Pediatrics)
• East Tennessee Endodontics, PLLC
• East TN Anesthesia Inc
• East TN Anesthesia, PLLC
• East TN Facial Surgery, Inc
• East TN Neurology LLC
• Eastdale Family Dentistry (Thomas C Rumph D.M.D PC)

• Family Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.