Individual provider Active NPI

Elizabeth Witty King

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1295582971
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6332 Issued in TN
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

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.