Individual provider Active NPI

Mary Laura Bean, MD

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1316975303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14633 Issued in TN
Practice address
632 Morrison Springs Rd
Suite 202
Chattanooga, TN 37415-3416
Phone
(423) 778-3329
Fax
(423) 778-3551
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14633 TN Primary

Addresses

Primary practice location

632 Morrison Springs Rd
Suite 202
Chattanooga, TN 37415-3416

Mailing address

PO Box 6067
Chattanooga, TN 37401-6067
Phone (423) 778-5445

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
I20040124000280 TN Practitioner - Family Practice 4789586108 Reassigns benefits to 1 organization
Practice locations: Chattanooga, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14633TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Jul 7, 2013 Accepting new patients
Advanced Practice Alliance Family Medicine CurrentSince Jan 19, 2025 Accepting new patients
Your Good Health, LLC CurrentSince Jun 1, 2013 Accepting new patients
Memorial Health Care System Inc. Past Accepting new patients
Crossroads Urgent Care PLLC Family Medicine Past Accepting new patients
Jemison O. Bowers, MD Past Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine Past Accepting new patients
Internal Medicine Education Foundation Inc Past Accepting new patients

Locations

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

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

1508 Tombras Ave
East Ridge, TN 37412
Phone (423) 867-4969

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72916

Organizations & group practices 8

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316975303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6067",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374016067",
            "telephone_number": "423-778-5445",
            "fax_number": "423-778-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MORRISON SPRINGS RD",
            "address_2": "SUITE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153416",
            "telephone_number": "423-778-3329",
            "fax_number": "423-778-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "MARY",
        "middle_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "14633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.