Individual provider Active NPI

Richard Carroll, MD

  • Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1306821491
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35396 Issued in TN
Practice address
6787 Lee Hwy Ste 103
Chattanooga, TN 37421-5796
Phone
(423) 698-2229
Fax
(423) 495-2760
NPI assigned
Dec 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35396 TN Primary

Addresses

Primary practice location

6787 Lee Hwy Ste 103
Chattanooga, TN 37421-5796

Mailing address

PO Box 306647
Nashville, TN 37230-6647
Phone (423) 698-2229

Other practice location 1

281 N Lyerly St Ste 100
Chattanooga, TN 37404-2747
Phone (423) 698-2229

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210001151 TN Practitioner - Pediatric Medicine 1153851969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35396TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic City Pediatrics PLLC Pediatrics CurrentSince Dec 23, 2024 Accepting new patients
Memorial Health Partners Foundation, Inc Pediatrics PastSince Dec 23, 2024 Accepting new patients

Locations

281 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 698-2222

7305 Jarnigan Rd
Ste 125
Chattanooga, TN 37421
Phone (423) 698-2229

Organizations & group practices 2

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": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1306821491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306647",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306647",
            "telephone_number": "423-698-2229",
            "fax_number": "423-495-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 LEE HWY STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374215796",
            "telephone_number": "423-698-2229",
            "fax_number": "423-495-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 N Lyerly St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042747",
            "country_code": "US",
            "telephone_number": "423-698-2229",
            "fax_number": "423-495-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "35396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.