Individual provider Active NPI

Lisa Fara, M.D.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1366698755
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0000015841 Issued in TN
Practice address
7030 Lee Hwy Ste 201
Chattanooga, TN 37421-6795
Phone
(610) 207-0900
Fax
(888) 563-1169
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C6492 AR
Addiction Medicine (Family Medicine) Physician 207QA0401X MD446896 PA
Family Medicine Physician 207Q00000X 0000015841 TN Primary

Addresses

Primary practice location

7030 Lee Hwy Ste 201
Chattanooga, TN 37421-6795

Mailing address

3813 Windtree Dr
Signal Mountain, TN 37377-1271
Phone (901) 619-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6492ARMDFamily Medicine Physician
0000015841TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
For the People Counseling Services CurrentSince Dec 13, 2022 Accepting new patients
For the People by the People PastSince Dec 13, 2022 Accepting new patients
Chattanooga Skin & Cancer Clinic Past Accepting new patients

Locations

119 Racine St
Ste 105
Memphis, TN 38111
Phone (901) 230-4047

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1366698755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 WINDTREE DR",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373771271",
            "telephone_number": "901-619-9001",
            "fax_number": "888-563-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 LEE HWY STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216795",
            "telephone_number": "610-207-0900",
            "fax_number": "888-563-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARA",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6492",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD446896",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000015841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.