Timothy Ray Jennings, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21821 Issued in TN

Practice address

6148 Lee Hwy Ste 200
Chattanooga, TN 37421-3045

Phone

(423) 531-4110

Fax

(423) 893-0690

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2012 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Psychiatric Foundations, P.C.

  • Psychiatry Physician
  • Chattanooga, TN
  • NPI 1174723480
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1316002652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21548",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374240548",
            "telephone_number": "423-531-4110",
            "fax_number": "423-893-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 LEE HWY STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213045",
            "telephone_number": "423-531-4110",
            "fax_number": "423-893-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "TIMOTHY",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "21821",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101276239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Jennings, RN
• Mark Oliver Jennings, MD
• Richard Hunter Jennings III, MD
• Shirley A Jennings, ED.S
• Tamara A Jennings, BS
• William R Jennings, D.P.T.
• Christine M Jeong, M.D.
• Yune-Gill Jeong, MD
• Savanna Jernigan
• Jerome a Sherard MD PC

• Psychiatry Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.