Quentin L Fannin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD017813 Issued in TN

Practice address

100 Moccasin Bend Rd
Chattanooga, TN 37405-4415

Phone

(423) 785-3413

NPI assigned

Feb 1, 2007

Last updated

Mar 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Tennessee State F & a Payroll

  dba Moccasin Bend Mental Health Institute

  • Psychiatric Hospital Unit
  • Chattanooga, TN
  • NPI 1306818265
  NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1225176654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOCCASIN BEND ROAD",
            "address_2": "MBMHI",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37405",
            "telephone_number": "423-785-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOCCASIN BEND RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374054415",
            "telephone_number": "423-785-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIN",
        "first_name": "QUENTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD017813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Home Care, Inc (Home Care of Chattanooga)
• Family Medical Providers, PLLC
• Michael Fan, PHARMD
• Samantha Jane Fanella, M.S. CF-SLP
• Heather M Fannin, M.S. CCC-SLP
• Deanne Fanta, DVM
• Lisa Fara, M.D.
• Faraday Chattanooga PC (Faraday Health-Chattanooga, TN)
• Sharon Nancy Farber, MD
• Charles Scott Farmer, MD

• Family Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.