Active NPI
Jacob Ryan Hennings, MD
- Emergency Medicine Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 47290
- Practice address
- 975 E 3Rd St
Chattanooga, TN 37403-2147 - Phone
- (423) 778-7628
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
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.
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1396282463
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Dunlap, TN
- NPI 1699212761
Emergency Medicine
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1912955360
Emergency Medicine
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1134177686
Emergency Medicine
-
- Emergency Medicine Physician
- Ft Oglethorpe, GA
- NPI 1760744668
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tennessee River Physicians, PLLC
Practice addresses (Care Compare)
975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 778-7000
Hospital & facility affiliations
- Erlanger Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111004000693 | TN | Practitioner - Emergency Medicine | 0941487110 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47290 | TN | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
| Hargrave Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Tennessee Em-I Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 47290 | TN | Primary |
Addresses
Primary practice location
975 E 3Rd St
Chattanooga, TN 37403-2147
Mailing address
975 E 3Rd St
Chattanooga, TN 37403-2147
Phone (423) 778-7628
NPI Registry JSON
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1265692008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 E 3RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032147",
"telephone_number": "423-778-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E 3RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032147",
"telephone_number": "423-778-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNINGS",
"first_name": "JACOB",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "47290",
"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 Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.