Chattanooga Family and Sports Medical Center, PLLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

1789 Issued in TN

Legal business name

CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC

Practice address

6035 Shallowford Rd
Suite 101
Chattanooga, TN 37421-1688

Phone

(423) 499-0003

NPI assigned

Nov 21, 2008

Last updated

Nov 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery G Hall, DC

Title

Member

Phone

(423) 499-0003

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 12

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.

• Elijah Levi Atkinson, APRN

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1225712748
  Medicare reassignment Care Compare group NPD
• Dina Fahmy, DC

  • Chiropractor
  • Chattanooga, TN
  • NPI 1376418699

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Jeff Glenn Hall, D.C.

  • Nutrition Chiropractor
  • Cleveland, TN
  • NPI 1932140043
  Medicare reassignment Care Compare group NPD
• Kerri Hopkins, NP

  • Nurse Practitioner
  • Cleveland, TN
  • NPI 1255804019
  Medicare reassignment Care Compare group NPD
• Ethan Kellum, MD

  • Orthopaedic Surgery Physician
  • Franklin, TN
  • NPI 1396907705
  Medicare reassignment Care Compare group NPD
• Barbara Jean Conyers, NP

  • Family Nurse Practitioner
  • Tunnel Hill, GA
  • NPI 1073745220

  TN

  Medicare reassignment Care Compare group NPD
• Randy Robert Heisser, MD

  • Family Medicine Physician
  • East Ridge, TN
  • NPI 1689620999
  Medicare reassignment NPD
• Connie Joellen Terrell, FNP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1932502218
  Medicare reassignment NPD
• Stacy Kay Whitehead, FNP-C

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1275969081

  TN

  Medicare reassignment NPD
• John Stewart Carden, PA-C

  • Medical Physician Assistant
  • Cleveland, TN
  • NPI 1205143187
  Medicare reassignment
• Diane Fahmy

  • Adult Health Nurse Practitioner
  • Watchung, NJ
  • NPI 1972028504
  NPD
• Robert Walter Haug, D.C.

  • Nutrition Chiropractor
  • Chattanooga, TN
  • NPI 1770525651
  NPD (past)

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1265687917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 SHALLOWFORD RD",
            "address_2": "SUITE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211688",
            "telephone_number": "423-499-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 SHALLOWFORD RD",
            "address_2": "SUITE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211688",
            "telephone_number": "423-499-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "423-499-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TN",
            "license": "1789",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "1241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chattanooga Ear Nose & Throat Assoc., P.C.
• Chattanooga Emergency Medicine PLLC
• Chattanooga Endoscopy ASC LLC (Chattanooga Endoscopy Center)
• Chattanooga Eye Care
• Chattanooga Eye Institute,P.C. (none)
• Chattanooga Family Chiropractic, LLC
• Chattanooga Family Practice Associates, P.C.
• Chattanooga Foot & Ankle Center, Inc.
• Chattanooga Foot Specialists, PLLC
• Chattanooga Gastroenterology, PC

• Nutrition Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Nutrition Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.