NPIMap

Individual provider Active NPI

Mayshan Ghiassi

  • Neurological Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1376736819
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
67119 Issued in TN
Practice address
725 Glenwood Dr Ste E884
Chattanooga, TN 37404-1182
Phone
(423) 206-9480
Fax
(423) 206-9481
NPI assigned
Aug 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X E-8544 AR
Neurological Surgery Physician 207T00000X 67119 TN Primary

Addresses

Primary practice location

725 Glenwood Dr Ste E884
Chattanooga, TN 37404-1182

Mailing address

725 Glenwood Dr Ste E884
Chattanooga, TN 37404-1182
Phone (423) 206-9480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170731002215 KY Practitioner - Neurosurgery 0244457182 Reassigns benefits to 1 organization
I20210226000112 FL Practitioner - NeurosurgeryPractitioner - Neurology 0244457182 Reassigns benefits to 1 organization
I20230120002706 TN Practitioner - Neurosurgery 0244457182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Vanderbilt University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

725 Glenwood Dr
Suite E486
Chattanooga, TN 37404-1173
Phone (423) 206-9480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion31
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc CurrentSince Jan 16, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Mar 30, 2021 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Jan 16, 2023 Accepting new patients
St Vincents Ambulatory Care Inc Neurological Surgery CurrentSince Mar 30, 2021 Accepting new patients

Locations

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1658 St Vincents Way
Ste 310
Middleburg, FL 32068
Phone (904) 308-2006

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

725 Glenwood Dr
Ste E486
Chattanooga, TN 37404
Phone (423) 206-9480

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

Interoperability endpoints

  • Direct secure messaging: mayshanghiassi@tnmhpf.allscriptsdirect.net

Organizations & group practices 7

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 5

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": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376736819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E884",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041182",
            "telephone_number": "423-206-9480",
            "fax_number": "423-206-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E884",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041182",
            "telephone_number": "423-206-9480",
            "fax_number": "423-206-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIASSI",
        "first_name": "MAYSHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "E-8544",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "67119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.