Active NPI
Jessica A. Whittle, MD
- Emergency Medicine Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD45971
- Practice address
- 2525 Desales Avenue
Chattanooga, TN 37404 - Phone
- (423) 697-0014
- Fax
- (423) 648-6280
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN11589 | FL | |
| Emergency Medicine Physician | 207P00000X | MD45971 | TN | Primary |
Addresses
Primary practice location
2525 Desales Avenue
Chattanooga, TN 37404
Mailing address
725 Glenwood Drive
Suite E-487
Chattanooga, TN 37404
Phone (423) 697-0014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523459 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 778-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD45971 | TN | MD | Emergency Medicine Physician |
| TRN11589 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Tennessee Em-I Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
Locations
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
725 Glenwood Dr
Ste E487
Chattanooga, TN 37404
Phone (423) 697-0014
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1396282463
-
- Emergency Care Clinic/Center
- Hixson, TN
- NPI 1427264126
-
- Emergency Care Clinic/Center
- Chattanooga, TN
- NPI 1174739908
-
- Emergency Medicine Physician
- Pikeville, TN
- NPI 1467999532
-
- Emergency Medicine Physician
- Dunlap, TN
- NPI 1699212761
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1912955360
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1134177686
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1194976704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 GLENWOOD DRIVE",
"address_2": "SUITE E-487",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37404",
"telephone_number": "423-697-0014",
"fax_number": "423-648-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 DESALES AVENUE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37404",
"telephone_number": "423-697-0014",
"fax_number": "423-648-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTLE",
"first_name": "JESSICA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN11589",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD45971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1523459",
"state": "TN"
}
],
"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 Nov 18, 2011; 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.