Individual provider Active NPI

Chloe Lorraine Gonzalez Jackson, MD

  • Family Medicine Physician
  • Alcoa, TN
National Provider Identifier
1366071235
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68634 Issued in TN
Practice address
122 Kent PL
Alcoa, TN 37701-1947
Phone
(865) 238-6630
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 68634 TN Primary

Addresses

Primary practice location

122 Kent PL
Alcoa, TN 37701-1947

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

255 E Watt St
Alcoa, TN 37701-2236
Phone (865) 273-1616

Other practice location 2

1924 Alcoa Hwy # U-67
Knoxville, TN 37920-1511
Phone (865) 305-9350

Other identifiers 1

IdentifierTypeStateIssuer
Q058742MedicaidTN

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
I20231130000811 TN Practitioner - Family Practice 1658795455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, Greenville, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians
Cherokee Health SystemsGroup PAC ID 3577474295, 128 clinicians

Practice addresses (Care Compare)

122 Kent PL
Alcoa, TN 37701-1947
Phone (865) 238-6630

255 E Watt St
Alcoa, TN 37701-2236
Phone (865) 273-1616

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Cherokee Health Systems CurrentSince Oct 23, 2023 Accepting new patients
Blount Memorial Physician Group, Inc Family Medicine CurrentSince Jan 5, 2026 Accepting new patients

Locations

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

255 E Watt St
Alcoa, TN 37701
Phone (865) 273-1616

122 Kent Pl
Alcoa, TN 37701
Phone (865) 238-6630

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: chloe.gonzalezjackson.p1@direct.cherokeehealth.nextgenshare.com

Organizations & group practices 4

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1366071235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 KENT PL",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011947",
            "telephone_number": "865-238-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Watt St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012236",
            "country_code": "US",
            "telephone_number": "865-273-1616",
            "fax_number": "865-273-1645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Alcoa Hwy # U-67",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201511",
            "country_code": "US",
            "telephone_number": "865-305-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ JACKSON",
        "first_name": "CHLOE",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "68634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q058742",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.