Individual provider Active NPI

Tiundra Leshaun Love, D.O.

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1376787788
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0000002365 Issued in TN
Practice address
6098 Debra Road, BLDG 6200 Suite 5200
Vha
Chattanooga, TN 37411
Phone
(423) 893-6500
NPI assigned
Apr 29, 2009
Last updated
Dec 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0000002365 TN Primary

Addresses

Primary practice location

6098 Debra Road, BLDG 6200 Suite 5200
Vha
Chattanooga, TN 37411

Mailing address

4112 Rogers Rd
Chattanooga, TN 37411-3242
Phone (423) 622-0599

Other names 1

  • NA NA NA Professional name

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
I20121009000041 TN Practitioner - Internal Medicine 1850540873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians

Practice addresses (Care Compare)

1200 Dodson Ave
Chattanooga, TN 37406-3214
Phone (423) 778-7860

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2365TNMDMental Health Counselor
0000002365TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 26, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Internal Medicine CurrentSince Aug 26, 2024 Accepting new patients
Kaful Double Portion Family Practice, Inc CurrentSince Jan 5, 2015 Accepting new patients
Hospital Medicine Services of TN, LLC CurrentSince Apr 1, 2023 Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients
Chattanooga Hamilton County Hospital Authority Internal Medicine Past Accepting new patients
Cleveland Medical Clinic Inc Internal Medicine Past Accepting new patients
Physician Services of Cleveland, PC Past Accepting new patients

Locations

1200 Dodson Ave
Chattanooga, TN 37406
Phone (423) 778-2800

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

3800 Tennessee Ave
Ste 124
Chattanooga, TN 37409
Phone (423) 778-2700

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

3740 Ocoee Pl NW
#101
Cleveland, TN 37312

3740 Ocoee Pl NW
Ste 101
Cleveland, TN 37312
Phone (423) 339-7107

2300 Patterson St
#M
Nashville, TN 37203

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1376787788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 ROGERS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113242",
            "telephone_number": "423-622-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 DEBRA ROAD, BLDG 6200 SUITE 5200",
            "address_2": "VHA",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37411",
            "telephone_number": "423-893-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "TIUNDRA",
        "middle_name": "LESHAUN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "0000002365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "middle_name": "NA",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.