Antoinette Boameh, M.D.

Key facts

NPI

1194157610

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

54074 (TN)

Practice address

941 Spring Creek Rd
Chattanooga, TN 37412-3909

Phone

(423) 855-3691

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

No

Organizations & group practices 11

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.

• Southeastern Physician Services PC Hospitalist Physician · Oak Ridge, TN · NPI 1083835441
  Medicare reassignment Care Compare group NPD INTERNAL MEDICINE · TN
• Adventist Health System Georgia Inc Multi-Specialty Clinic/Center · Calhoun, GA · NPI 1699791343
  Medicare reassignment Care Compare group NPD GA
• App of Tennessee HM, PLLC Hospitalist Physician · Shelbyville, TN · NPI 1396160768
  Medicare reassignment NPD HOSPITALIST · TN
• Memorial Health Partners Foundation, Inc Internal Medicine Physician · Chattanooga, TN · NPI 1922053545
  Medicare reassignment NPD INTERNAL MEDICINE · TN
• Saint Thomas Medical Partners Internal Medicine Physician · Nashville, TN · NPI 1437194669
  Medicare reassignment NPD INTERNAL MEDICINE · TN
• Hamilton Medical Center, Inc. General Acute Care Hospital · Dalton, GA · NPI 1528056066
  Medicare reassignment NPD GA
• Hospital Medicine Services of Tennessee PC Hospitalist Physician · Lawrenceburg, IN · NPI 1528433802
  Medicare reassignment NPD INTERNAL MEDICINE · TN
• Saint Thomas Medical Partners Gynecology Physician · Franklin, TN · NPI 1164679411
  NPD
• Hamilton Physician Group Inc Cardiovascular Disease Physician · Dalton, GA · NPI 1235455569
  NPD
• Memorial Health Partners Foundation Inc Rural Health Clinic/Center · La Fayette, GA · NPI 1760632780
  NPD
• Adventist Health System Georgia, Inc. General Acute Care Hospital · Chatsworth, GA · NPI 1750776571
  NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bradley Medical Center, LLC General Acute Care Hospital · Cleveland, TN · NPI 1255171096
  Care Compare affiliation Hospital
• Adventist Health System Georgia, Inc. General Acute Care Hospital · Chatsworth, GA · NPI 1750776571
  Care Compare affiliation Hospital
• Adventist Health System Georgia, Inc. General Acute Care Hospital · Calhoun, GA · NPI 1760402424
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Meharry Medical College School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health System Georgia Inc (247 clinicians)
Southeastern Physician Services PC (591 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affiliate of Vitruvian Health Hospital · Cleveland, TN · CCN 440185
• Adventhealth Murray Hospital · Chatsworth, GA · CCN 110050
• Adventhealth Gordon Hospital · Calhoun, GA · CCN 110023

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TN, GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194157610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 SPRING CREEK ROAD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217519",
            "telephone_number": "423-855-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123909",
            "telephone_number": "423-855-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAMEH",
        "first_name": "ANTOINETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "54074",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "54074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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