Individual provider Active NPI

Mystie Karole Swingle, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1275942401
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18948 Issued in TN
Practice address
1651 Gunbarrel Rd Ste 302
Chattanooga, TN 37421-3291
Phone
(423) 899-2904
Fax
(423) 892-5058
NPI assigned
Aug 13, 2014
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18948 TN Primary

Addresses

Primary practice location

1651 Gunbarrel Rd Ste 302
Chattanooga, TN 37421-3291

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 308-0280

Other names 1

  • Mystie Karole Derrick Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030002522 TN Practitioner - Nurse Practitioner 3577784776 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18948TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Apr 1, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Apr 1, 2024 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Aug 31, 2014 Accepting new patients
DX Mso, PLLC CurrentSince May 19, 2021 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Aug 31, 2014 Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1200 Dodson Ave
Chattanooga, TN 37406
Phone (423) 778-2800

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

3800 Tennessee Ave
Ste 124
Chattanooga, TN 37409
Phone (423) 778-2700

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

163 Walnut Grove Church Rd
Dayton, TN 37321
Phone (423) 775-6668

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1275942401",
    "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": "423-308-0280",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 GUNBARREL RD STE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213291",
            "telephone_number": "423-899-2904",
            "fax_number": "423-892-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINGLE",
        "first_name": "MYSTIE",
        "middle_name": "KAROLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYSTIE",
            "last_name": "DERRICK",
            "middle_name": "KAROLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.