Individual provider Active NPI

Gussie Louvenia Hawkins, M.D.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1245259977
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD017124 Issued in TN
Practice address
6098 Debra Rd
Chattanooga VA Outpatient Clinic
Chattanooga, TN 37411-5702
Phone
(423) 893-6500
Fax
(423) 893-6563
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD017124 TN Primary

Addresses

Primary practice location

6098 Debra Rd
Chattanooga VA Outpatient Clinic
Chattanooga, TN 37411-5702

Mailing address

6098 Debra Rd
Chattanooga VA Outpatient Clinic
Chattanooga, TN 37411-5702
Phone (423) 893-6500

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD017124TNMDFamily Medicine Physician
17124TNMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1245259977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 DEBRA RD",
            "address_2": "CHATTANOOGA VA OUTPATIENT CLINIC",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115702",
            "telephone_number": "423-893-6500",
            "fax_number": "423-893-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 DEBRA RD",
            "address_2": "CHATTANOOGA VA OUTPATIENT CLINIC",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115702",
            "telephone_number": "423-893-6500",
            "fax_number": "423-893-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "GUSSIE",
        "middle_name": "LOUVENIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD017124",
            "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 Jan 25, 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.