Active NPI
Galen Medical Group, PC
- Internal Medicine Physician
- Hixson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GALEN MEDICAL GROUP, PC
- Practice address
- 4976 Alpha LN
Hixson, TN 37343-5470 - Phone
- (423) 497-5355
- Fax
- (423) 308-0281
- NPI assigned
- Aug 8, 2006
- Last updated
- Aug 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin Wiley, MD
- Title
- Medical Director
- Phone
- (423) 308-0280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Gastroenterology Physician | 207RG0100X | |||
| Hepatology Physician | 207RI0008X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Dermatopathology (Pathology) Physician | 207ZD0900X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Pediatrics Physician | 208000000X | |||
| Pediatric Allergy/Immunology Physician | 2080P0201X | |||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
4976 Alpha LN
Hixson, TN 37343-5470
Mailing address
4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3703397 | Medicaid | TN | |
| 300040275R | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0859137 | Galen Medical Group Laboratory PC | Compliance | Apr 20, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations (25 of 29)
1107 Memorial Dr
Ste G2
Dalton, GA 30720
Phone (706) 529-3245
4700 Battlefield Pkwy
Ste 210
Ringgold, GA 30736
Phone (423) 698-8101
1651 Gunbarrel Rd
Chattanooga, TN 37421
1651 Gunbarrel Rd
#S301
Chattanooga, TN 37421
Phone (423) 899-2580
1651 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 308-0480
1651 Gunbarrel Rd
Ste 201
Chattanooga, TN 37421
Phone (423) 899-9133
1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904
1700 Broad St
Ste 140
Chattanooga, TN 37408
Phone (423) 493-5240
1720 Gunbarrel Rd
#S400
Chattanooga, TN 37421
1720 Gunbarrel Rd
Ste 410
Chattanooga, TN 37421
Phone (423) 497-5359
2200 E 3rd St
Ste 200
Chattanooga, TN 37404
Phone (423) 643-2500
3354 Charger Dr
Chattanooga, TN 37409
Phone (423) 265-6411
4650 Buccaneer Trl
Chattanooga, TN 37411
Phone (423) 622-6177
5600 Brainerd Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 308-0280
7236 Bonny Oaks Dr
Chattanooga, TN 37421
Phone (423) 892-2319
7425 Ziegler Rd
Ste 131
Chattanooga, TN 37421
Phone (423) 308-0280
960 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-7172
961 Spring Creek Rd
#C30463
Chattanooga, TN 37412
Phone (423) 892-2221
979 E 3rd St
Ste C520
Chattanooga, TN 37403
Phone (423) 778-4465
1011 Peerless Xing NW
Cleveland, TN 37312
1060 Peerless Xing NW
Ste 100
Cleveland, TN 37312
Phone (423) 339-5656
2253 Chambliss Ave NW
#S401
Cleveland, TN 37311
1008 Executive Dr
Hixson, TN 37343
1008 Executive Dr
Ste 104
Hixson, TN 37343
Phone (423) 497-5363
1039 Executive Dr
Hixson, TN 37343
Practitioners & affiliated clinicians
Practitioners 270
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Ooltewah, TN
- NPI 1801561964
-
- Family Medicine Physician
- Hixson, TN
- NPI 1467463299
-
- Obstetrics & Gynecology Physician
- Chattanooga, TN
- NPI 1013189067
-
- Hospitalist Physician
- Chattanooga, TN
- NPI 1740223635
Obstetrics & Gynecology
-
- Gastroenterology Physician
- Chattanooga, TN
- NPI 1164927950
-
- Obstetrics & Gynecology Physician
- Chattanooga, TN
- NPI 1104801216
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1467730127
-
- Gastroenterology Physician
- Chattanooga, TN
- NPI 1558337451
-
- Internal Medicine Physician
- Hixson, TN
- NPI 1790891208
-
- Family Medicine Physician
- Hixson, TN
- NPI 1609096643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1346250057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4976 ALPHA LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435470",
"telephone_number": "423-497-5355",
"fax_number": "423-308-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4976 ALPHA LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435470",
"telephone_number": "423-497-5355",
"fax_number": "423-308-0281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALEN MEDICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "423-308-0280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hepatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3703397",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300040275R",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.