Individual provider Active NPI

Sam Lowy, MD

  • Psychiatry Physician
  • Chattanooga, TN
National Provider Identifier
1255412912
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14188 Issued in TN
Practice address
420 Bell Ave
Chattanooga, TN 37405-3404
Phone
(423) 634-8884
Fax
(423) 634-0813
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14188 TN Primary

Addresses

Primary practice location

420 Bell Ave
Chattanooga, TN 37405-3404

Mailing address

3908 Ivory Ave
Signal Mountain, TN 37377-3470
Phone (423) 886-3395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170125000093 TX Practitioner - Psychiatry 9032018429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Camino Real Community MHMR CenterGroup PAC ID 9931183449, 18 clinicians

Practice addresses (Care Compare)

1749 E State Hwy 97
Camino Real Comm Services Atascosa Crisis
Jourdanton, TX 78026-1509
Phone (830) 767-2320

19965 FM
Suite 3175
Lytle, TX 78052-3481

19965 FM 3175
Camino Real Community Services
Lytle, TX 78052-3481
Phone (210) 357-0300

19971 FM 3175
Camino Real Comm Services Atascosa Crisis
Lytle, TX 78052-3481
Phone (830) 226-5390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14188TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System PastSince Jul 1, 2003 Accepting new patients
Robert T Spalding MD PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1255412912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 IVORY AVE",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773470",
            "telephone_number": "423-886-3395",
            "fax_number": "423-886-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BELL AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053404",
            "telephone_number": "423-634-8884",
            "fax_number": "423-634-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWY",
        "first_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "14188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.