Individual provider Active NPI

Olivia Loren Gonzalez McKinney, DO

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1366183261
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6396 Issued in TN
Practice address
1300 E 23Rd St
Chattanooga, TN 37404-5701
Phone
(813) 817-9695
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 6396 TN Primary

Addresses

Primary practice location

1300 E 23Rd St
Chattanooga, TN 37404-5701

Mailing address

1300 E 23Rd St
Chattanooga, TN 37404-5701
Phone (813) 817-9695

Other practice location 1

2609 SW Lee Blvd
Lawton, OK 73505-8312
Phone (580) 248-5242

Other practice location 2

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220812002188 MS Order and Referring Only - Family PracticePractitioner - Family PracticePractitioner - Internal Medicine 6608259312

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Medicos, PLLC CurrentSince Aug 17, 2025 Accepting new patients
Clinica Sonrisas LLC PastSince Oct 22, 2023 Accepting new patients

Locations

1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000

1148 E 23rd St
Chattanooga, TN 37408
Phone (423) 760-4000

Interoperability endpoints

  • Direct secure messaging: olivia.gonzalez.mckinney.1@26609.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1366183261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 23RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045701",
            "telephone_number": "813-817-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 23RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045701",
            "telephone_number": "813-817-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 SW Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735058312",
            "country_code": "US",
            "telephone_number": "580-248-5242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 Hardy St",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021308",
            "country_code": "US",
            "telephone_number": "601-268-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ MCKINNEY",
        "first_name": "OLIVIA",
        "middle_name": "LOREN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.