Organization Active NPI

Columbia Medical Group-Parkridge Inc.

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1396786745
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COLUMBIA MEDICAL GROUP-PARKRIDGE INC.
Practice address
935 Spring Creek Rd
Suite 205
Chattanooga, TN 37412-3993
Phone
(423) 893-9787
NPI assigned
Jun 9, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Chuck Locke
Title
VP
Phone
(615) 373-7604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

935 Spring Creek Rd
Suite 205
Chattanooga, TN 37412-3993

Mailing address

935 Spring Creek Rd
Suite 205
Chattanooga, TN 37412-3993
Phone (423) 893-9787

Other identifiers 2

IdentifierTypeStateIssuer
3708087MedicaidTN
3721128MedicaidTN

National Provider Directory

National Provider Directory

Locations

2205 McCallie Ave
#300
Chattanooga, TN 37404
Phone (423) 493-1700

2337 McCallie Ave
Ste 102
Chattanooga, TN 37404
Phone (423) 493-1700

2339 McCallie Ave
Ste 401
Chattanooga, TN 37404
Phone (423) 629-5524

2339 McCallie Ave
Ste 406
Chattanooga, TN 37404
Phone (423) 629-0703

916 SPG CRK Rd Ste 300
Chattanooga, TN 37412

935 Spring Creek Rd
Ste 205
Chattanooga, TN 37412
Phone (423) 267-3455

961 Spring Creek Rd
Ste 300
East Ridge, TN 37412
Phone (423) 892-5013

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1396786745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD",
            "address_2": "SUITE 205",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123993",
            "telephone_number": "423-893-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SPRING CREEK RD",
            "address_2": "SUITE 205",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123993",
            "telephone_number": "423-893-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL GROUP-PARKRIDGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7604"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3708087",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3721128",
            "state": "TN"
        }
    ],
    "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 Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.