Active NPI
Elizabeth Witty King
- Physician Assistant
- Chattanooga, TN
National Provider Identifier
1295582971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6332
- Practice address
- 409 Dodds Ave
Chattanooga, TN 37404-3908 - Phone
- (423) 624-4024
- NPI assigned
- May 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6332 | TN | Primary |
Addresses
Primary practice location
409 Dodds Ave
Chattanooga, TN 37404-3908
Mailing address
5401 Little Gem LN
Ooltewah, TN 37363-1423
Phone (423) 838-9620
Other practice location 1
5564 Little Debbie Pkwy Ste 114
College Dale, TN 37363-4333
Phone (423) 602-9545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Tennessee LLC | Past | Accepting new patients | |
| Allied Pediatrics PLLC | Past | Accepting new patients | |
| Valley Medical Care LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/7438/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Chattanooga, TN
- NPI 1124464995
-
- Family Medicine Physician
- Nashville, TN
- NPI 1376110858
-
- Pediatrics Physician
- Jasper, TN
- NPI 1417376195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1295582971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 LITTLE GEM LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373631423",
"telephone_number": "423-838-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 DODDS AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043908",
"telephone_number": "423-624-4024"
}
],
"practiceLocations": [
{
"address_1": "5564 Little Debbie Pkwy Ste 114",
"address_purpose": "LOCATION",
"city": "College Dale",
"state": "TN",
"postal_code": "373634333",
"country_code": "US",
"telephone_number": "423-602-9545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ELIZABETH",
"middle_name": "WITTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-01",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "6332",
"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 Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.