Organization Active NPI

Maurice S. Rawlings, Jr., M.D., P.C.

Doing business as The Breast Center of Chattanooga

  • Surgical Oncology Physician
  • Chattanooga, TN
National Provider Identifier
1265531321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD 0000010156 Issued in TN
Legal business name
MAURICE S. RAWLINGS, JR., M.D., P.C.
Doing business as
The Breast Center of Chattanooga
Practice address
605 Glenwood Dr
Suite 103
Chattanooga, TN 37404-1108
Phone
(423) 698-0304
Fax
(423) 622-7068
NPI assigned
Sep 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maurice S. Rawlings Jr., M.D.NPI 1588763734
Title
President
Phone
(423) 698-0304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X MD 0000010156 TN Primary

Addresses

Primary practice location

605 Glenwood Dr
Suite 103
Chattanooga, TN 37404-1108

Mailing address

605 Glenwood Dr
Suite 103
Chattanooga, TN 37404-1108
Phone (423) 698-0304

Other identifiers 1

IdentifierTypeStateIssuer
3183814MedicaidTN

Other names 1

  • The Breast Center of Chattanooga Doing business as

National Provider Directory

National Provider Directory

Locations

605 Glenwood Dr
Ste 103
Chattanooga, TN 37404
Phone (423) 698-0304

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265531321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041108",
            "telephone_number": "423-698-0304",
            "fax_number": "423-622-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041108",
            "telephone_number": "423-698-0304",
            "fax_number": "423-622-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE S. RAWLINGS, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAWLINGS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-698-0304",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TN",
            "license": "MD 0000010156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3183814",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Breast Center of Chattanooga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.