Individual provider Active NPI

Kelly Rodney Arnold, M.D.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1215147483
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43386 Issued in TN
Practice address
901 Vine St
Chattanooga, TN 37403
Phone
(423) 779-7333
NPI assigned
May 23, 2007
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43386 TN Primary
Obstetrics Physician 207VX0000X 43386 TN

Addresses

Primary practice location

901 Vine St
Chattanooga, TN 37403

Mailing address

901 Vine St
Chattanooga, TN 37403
Phone (423) 779-7333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091105000481 TN Practitioner - Family Practice 7214075688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Medicos, PLLCGroup PAC ID 6204152291, 6 clinicians

Practice addresses (Care Compare)

1144 E 23Rd St
Chattanooga, TN 37408-2213

1148 E 23Rd St
Chattanooga, TN 37408-2213
Phone (423) 760-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43386TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 1, 2009 Accepting new patients
Chattanooga Hamilton County Hospital Authority Family Medicine CurrentSince Oct 1, 2009 Accepting new patients
OB Medicos, PLLC CurrentSince Oct 21, 2014 Accepting new patients
Medicos General PLLC Family Medicine CurrentSince Apr 12, 2010 Accepting new patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients
Clinica Sonrisas LLC PastSince Oct 22, 2023 Accepting new patients
The Camellia Foundation Family Medicine PastSince Sep 7, 2011 Accepting new patients

Locations

1100 E 3rd St
Chattanooga, TN 37403
Phone (423) 778-2957

1148 E 23rd St
Chattanooga, TN 37408
Phone (423) 760-4000

1148 E 23rd St
Ste 102
Chattanooga, TN 37408

1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26609/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.arnold.1@26609.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1215147483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VINE ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-779-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VINE ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-779-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "KELLY",
        "middle_name": "RODNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "43386",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "43386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.