Individual provider Active NPI

Dina Fahmy, DC

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1376418699
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3884 Issued in TN
Practice address
6035 Shallowford Rd Ste 101
Chattanooga, TN 37421-1651
Phone
(423) 499-0003
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3884 TN Primary

Addresses

Primary practice location

6035 Shallowford Rd Ste 101
Chattanooga, TN 37421-1651

Mailing address

3653 Lake Katherine Rd
Tunnel Hill, GA 30755-6304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260302003199 TN Practitioner - Chiropractic 6103308937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Chattanooga Family and Sports Medical Center, PLLCGroup PAC ID 7214094564, 6 clinicians

Practice addresses (Care Compare)

6035 Shallowford Rd
Suite 101
Chattanooga, TN 37421-1651
Phone (423) 499-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3884TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Family and Sports Medical Center, PLLC Multi-Specialty CurrentSince Nov 15, 2025 Accepting new patients
Jeff Hall Inc Multi-Specialty PastSince Oct 12, 2025 Accepting new patients

Locations

6035 Shallowford Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 499-0003

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1376418699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 LAKE KATHERINE RD",
            "city": "TUNNEL HILL",
            "state": "GA",
            "postal_code": "307556304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 SHALLOWFORD RD STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211651",
            "telephone_number": "423-499-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHMY",
        "first_name": "DINA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.