Individual provider Active NPI

Janelle M Beville, M.D.

  • Public Health & General Preventive Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1205909587
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD12127 Issued in TN
Practice address
540 McCallie Ave
Suite 450
Chattanooga, TN 37402-2089
Phone
(423) 634-5887
Fax
(423) 634-3139
NPI assigned
Nov 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X MD12127 TN Primary

Addresses

Primary practice location

540 McCallie Ave
Suite 450
Chattanooga, TN 37402-2089

Mailing address

540 McCallie Ave
Suite 450
Chattanooga, TN 37402-2089
Phone (423) 634-5887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12127TNMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205909587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MCCALLIE AVE",
            "address_2": "SUITE 450",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022089",
            "telephone_number": "423-634-5887",
            "fax_number": "423-634-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MCCALLIE AVE",
            "address_2": "SUITE 450",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022089",
            "telephone_number": "423-634-5887",
            "fax_number": "423-634-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILLE",
        "first_name": "JANELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TN",
            "license": "MD12127",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.