Individual provider Active NPI

Jamie Renee Slagle, NP

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1366054785
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN27853 Issued in TN
Practice address
6061 Shallowford Rd
Chattanooga, TN 37421-1688
Phone
(423) 899-2700
Fax
(423) 899-2703
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN27853 TN Primary

Addresses

Primary practice location

6061 Shallowford Rd
Chattanooga, TN 37421-1688

Mailing address

6061 Shallowford Rd
Chattanooga, TN 37421-1688
Phone (423) 899-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201102002039 TN Practitioner - Nurse Practitioner 0648680603 Reassigns benefits to 1 organization
I20250513001025 KY Practitioner - Nurse Practitioner 0648680603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trigg County Hospital, IncGroup PAC ID 5193620805, 33 clinicians
Chattanooga Skin and Cancer ClinicGroup PAC ID 9032386354, 13 clinicians

Practice addresses (Care Compare)

254 Main St
Cadiz, KY 42211-9153
Phone (270) 522-3215

3891 Adkisson Dr NW
Cleveland, TN 37312-2819
Phone (423) 479-8648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN27853TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trigg County Hospital, Inc Nurse Practitioner CurrentSince Apr 25, 2025 Accepting new patients
Chattanooga Skin & Cancer Clinic CurrentSince Aug 1, 2020 Accepting new patients
Trigg County Hospital, Inc CurrentSince Apr 25, 2025 Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

6061 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 899-2700

3891 Adkisson Dr NW
Cleveland, TN 37312
Phone (423) 479-8648

Organizations & group practices 3

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 1

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1366054785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211688",
            "telephone_number": "423-899-2700",
            "fax_number": "423-899-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211688",
            "telephone_number": "423-899-2700",
            "fax_number": "423-899-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "JAMIE",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN27853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.