NPIMap

Organization Active NPI

County of Hamilton

Doing business as Hamilton County Health Department Homeless Health Care Center

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1215350194
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COUNTY OF HAMILTON
Doing business as
Hamilton County Health Department Homeless Health Care Center
Homeless Health Care Center
Practice address
730 East 11TH Street
Chattanooga, TN 37403-3104
Phone
(423) 265-5708
Fax
(423) 265-5713
NPI assigned
Jan 28, 2014
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Beka Bohannon
Title
Administrator
Phone
(423) 209-8000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

730 East 11TH Street
Chattanooga, TN 37403-3104

Mailing address

921 E 3Rd St
Chattanooga, TN 37403-2102
Phone (423) 209-8000

Other identifiers 1

IdentifierTypeStateIssuer
3371116MedicaidTN

Other names 2

  • Hamilton County Health Department Homeless Health Care Center Doing business as
  • Homeless Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080917000394 TN Part B Supplier - Mass Immunization (Roster Biller Only) 0446272207 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birchwood, TN; Ooltewah, TN; Chattanooga, TN
O20180517000737 TN Part A Provider - Federally Qualified Health Center (FQHC) 0446272207 Practice locations: Chattanooga, TN
O20190612003039 TN Part B Supplier - Clinic/Group Practice 0446272207 Receives reassigned benefits from 10 practitioners
Practice locations: Chattanooga, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215350194. Details of each certification follow.

Federally qualified health center certification: CCN 441984

Legal name
COUNTY OF HAMILTON
Doing business as
HOMELESS HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 17, 2018
Last certification
May 17, 2018
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
730 E 11TH St
Chattanooga, TN 37403-3103

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sequoyah Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

730 E 11th St
Chattanooga, TN 37403
Phone (423) 209-5800

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rebekah Bohannon Individual Corporate DirectorDirector of Intergovernmental Affai Jul 16, 2025
W-2 Managing EmployeeDirector of Intergovernmental Affai Jul 16, 2025

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1215350194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032102",
            "telephone_number": "423-209-8000",
            "fax_number": "423-209-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EAST 11TH STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033104",
            "telephone_number": "423-265-5708",
            "fax_number": "423-265-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HAMILTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "BEKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-209-8000"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3371116",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton County Health Department Homeless Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homeless Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homeless Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.