Individual provider Active NPI

Sheena Kelly Gamble, D.O.

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1265794143
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4544 Issued in TN
Practice address
1651 Gunbarrel Rd Ste 201
Chattanooga, TN 37421-3291
Phone
(423) 899-9133
Fax
(423) 855-8176
NPI assigned
Jun 15, 2012
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1594 SC
Obstetrics & Gynecology Physician 207V00000X 4544 TN Primary

Addresses

Primary practice location

1651 Gunbarrel Rd Ste 201
Chattanooga, TN 37421-3291

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355

Other practice location 1

1651 Gunbarrel Rd Ste 101A
Chattanooga, TN 37421-3289
Phone (423) 899-9133

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgamble5072@direct.ghs.myhfn.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106002447 TN Practitioner - Osteopathic Manipulative Medicine 3072761642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

1651 Gunbarrel Rd
Suite 201
Chattanooga, TN 37421-3291
Phone (423) 899-9133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1594SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Medical Group, PC Obstetrics & Gynecology CurrentSince Jan 17, 2022 Accepting new patients

Locations

1651 Gunbarrel Rd
Ste 101A
Chattanooga, TN 37421
Phone (423) 899-9133

1651 Gunbarrel Rd
Ste 201
Chattanooga, TN 37421
Phone (423) 899-9133

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1265794143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 GUNBARREL RD STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213291",
            "telephone_number": "423-899-9133",
            "fax_number": "423-855-8176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Gunbarrel Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213289",
            "country_code": "US",
            "telephone_number": "423-899-9133",
            "fax_number": "423-855-8176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "SHEENA",
        "middle_name": "KELLY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "1594",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "4544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgamble5072@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sgamble5072@direct.ghs.myhfn.org",
            "address_1": "890 W Faris Rd Ste 330",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.