Organization Active NPI

One Doc PLLC

  • Family Medicine Physician
  • West Lafayette, IN
National Provider Identifier
1265968549
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01078357A Issued in IN
Legal business name
ONE DOC PLLC
Practice address
1400 W State St
Building B
West Lafayette, IN 47906-3438
Phone
(423) 602-9530
NPI assigned
May 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Keith Helton
Title
Ceo
Phone
(423) 602-9530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 01078357A IN Primary

Addresses

Primary practice location

1400 W State St
Building B
West Lafayette, IN 47906-3438

Mailing address

1067 Riverfront Pkwy Ste 201
Chattanooga, TN 37402-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200130003292 TN Part B Supplier - Clinic/Group Practice 8820424393 Receives reassigned benefits from 7 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

171 Baylor School Rd
Ste 201
Chattanooga, TN 37405
Phone 4232678506239

246 E 11th St
#100
Chattanooga, TN 37402

1067 Riverfront Pkwy
Chattanooga, TN 37402
Phone (423) 602-9529

171 Baylor School Rd
Chattanooga, TN 37405
Phone (423) 267-8506

Interoperability endpoints

  • Direct secure messaging: davidhelton@textcare.azalea.phimailbox.com

Practitioners & affiliated clinicians

Practitioners 11

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": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1265968549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 RIVERFRONT PKWY STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W STATE ST",
            "address_2": "BUILDING B",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063438",
            "telephone_number": "423-602-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE DOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "HELTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-602-9530"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01078357A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.