Organization Active NPI

Scenic City OB GYN Inc

  • Obstetrics & Gynecology Physician
  • East Ridge, TN
National Provider Identifier
1275630675
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SCENIC CITY OB GYN INC
Practice address
935 Spring Creek Rd Ste 103
East Ridge, TN 37412-3994
Phone
(423) 756-4796
Fax
(423) 267-7117
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Stephanie Herrick
Title
Office Manager
Phone
(423) 756-4796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

935 Spring Creek Rd Ste 103
East Ridge, TN 37412-3994

Mailing address

935 Spring Creek Rd Ste 103
Chattanooga, TN 37412-3994
Phone (423) 756-4796

Other names 1

  • Womens Health Services Chatt PC DBA University Womens Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040730000639 TN Part B Supplier - Clinic/Group Practice 0941283873 Receives reassigned benefits from 3 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chattanooga, TN; Ooltewah, TN
O20171002000943 TN Part B Supplier - Clinic/Group Practice 7517232531 Receives reassigned benefits from 2 practitioners
Practice locations: Chattanooga, TN

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0932116Scenic City OB/GYN, Inc935 Spring Creek Road, Suite 103, Chattanooga, TN 37412Provider-performed microscopySep 9, 2026

National Provider Directory

National Provider Directory

Locations

935 Spring Creek Rd
Ste 103
East Ridge, TN 37412
Phone (423) 756-4796

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1275630675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123994",
            "telephone_number": "423-756-4796",
            "fax_number": "423-267-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD STE 103",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374123994",
            "telephone_number": "423-756-4796",
            "fax_number": "423-267-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC CITY OB GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "HERRICK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-756-4796"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Health Services Chatt PC DBA University Womens Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Womens Health Services Chatt PC DBA University Womens Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.