Individual provider Active NPI

Dennis Prok, PA- C

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1255846382
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2000 Stein Dr
Chattanooga, TN 37421-1690
Phone
(423) 648-8480
Fax
(423) 648-8481
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2000 Stein Dr
Chattanooga, TN 37421-1690

Mailing address

48TH MDG/ Raf Lakenheath
Unit 5115
Apo, AE 09461-5115
Phone (314) 226-8268

Other practice location 1

980 Highway 28 Ste 101
Jasper, TN 37347-3696
Phone (423) 648-8480

Other practice location 2

48th MDG/ RAF Lakenheath
Unit 5115
Apo, AE 09461-5115
Phone (314) 226-8268

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524001498 TN Practitioner - Physician Assistant 2264795731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Pain Management, P.C.Group PAC ID 0143132522, 11 clinicians

Practice addresses (Care Compare)

2000 Stein Dr
Chattanooga, TN 37421-1690
Phone (423) 648-8480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Center for Sleep Disorders, Inc CurrentSince Sep 1, 2025 Accepting new patients
Consultants in Pain Management, PC Physician Assistant CurrentSince Dec 2, 2025 Accepting new patients
Advanced Center for Sleep Disorders, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Consultants in Pain Management, PC CurrentSince Dec 2, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 Stein Dr
Chattanooga, TN 37421
Phone (423) 648-8480

6624 Lee Hwy
Chattanooga, TN 37421
Phone (423) 648-8008

6073 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 648-8008

980 Highway 28
Ste 101
Jasper, TN 37347
Phone (423) 648-8480

Organizations & group practices 5

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": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1255846382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "48TH MDG/ RAF LAKENHEATH",
            "address_2": "UNIT 5115",
            "city": "APO",
            "state": "AE",
            "postal_code": "094615115",
            "telephone_number": "314-226-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STEIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211690",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Highway 28 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "373473696",
            "country_code": "US",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48th MDG/ RAF Lakenheath",
            "address_2": "UNIT 5115",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "094615115",
            "country_code": "US",
            "telephone_number": "314-226-8268",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "PROK",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "PA- C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.