NPIMap

Organization Active NPI

Hitchcock Family Medicine, PLLC

  • Family Medicine Physician
  • Hixson, TN
National Provider Identifier
1356936595
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HITCHCOCK FAMILY MEDICINE, PLLC
Practice address
5104 Hixson Pike
Hixson, TN 37343-3932
Phone
(423) 763-1942
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Dr. Matthew Ray Hitchcock, MDNPI 1760645113
Title
Owner
Phone
(423) 763-1942

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

5104 Hixson Pike
Hixson, TN 37343-3932

Mailing address

5104 Hixson Pike
Hixson, TN 37343-3932
Phone (423) 763-1942

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hfm@atlas.direct Direct

National Provider Directory

National Provider Directory
Tax ID family
Hitchcock Family Medicine PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3875 Hixson Pike
Chattanooga, TN 37415
Phone (423) 468-5210

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1356936595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433932",
            "telephone_number": "423-763-1942",
            "fax_number": "423-763-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433932",
            "telephone_number": "423-763-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HITCHCOCK FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "HITCHCOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-763-1942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hfm@atlas.direct",
            "affiliation": "N",
            "endpointDescription": "Email to accept .pdf directly into EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3875 Hixson Pike",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374153563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.