Individual provider Active NPI

Stephanie Nicole David, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Chattanooga, TN
National Provider Identifier
1356760797
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
58943 Issued in TN
Practice address
2525 Desales Ave
Chattanooga, TN 37404
Phone
(423) 629-7688
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 58943 TN Primary

Addresses

Primary practice location

2525 Desales Ave
Chattanooga, TN 37404

Mailing address

PO Box 3637
Chattanooga, TN 37404-0637
Phone (423) 629-7688

Other practice location 1

1651 Gunbarrel Rd Ste 102A
Chattanooga, TN 37421-3289
Phone (423) 468-1543

Other practice location 2

1161 21st Ave S
CC-3322 Medical Center North
Nashville, TN 37232-2561
Phone (615) 343-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180719000276 PA Practitioner - Pathology 7618270125 Reassigns benefits to 1 organization
I20190808004168 TN Practitioner - Pathology 7618270125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Toledo College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians
Diagnostic Pathology Serv PCGroup PAC ID 4880647585, 10 clinicians

Practice addresses (Care Compare)

1651 Gunbarrel Rd
Suite 102
Chattanooga, TN 37421-3289
Phone (423) 308-0390

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 624-6623

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58943TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Galen Medical Group, PC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
Diagnostic Pathology Serv PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 22, 2019 Accepting new patients
Diagnostic Pathology Services, PC CurrentSince Jul 22, 2019 Accepting new patients
University of Pittsburgh Physicians Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2018 Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

320 Main St
Johnstown, PA 15901
Phone (814) 533-0123

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

1651 Gunbarrel Rd
Ste 102A
Chattanooga, TN 37421
Phone (423) 468-1543

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

1651 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 308-0292

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1356760797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3637",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374040637",
            "telephone_number": "423-629-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-629-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Gunbarrel Rd Ste 102A",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213289",
            "country_code": "US",
            "telephone_number": "423-468-1543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1161 21st Ave S",
            "address_2": "CC-3322 Medical Center North",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322561",
            "country_code": "US",
            "telephone_number": "615-343-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "58943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.