Active NPI
David W Adcock MD PLLC
- Plastic Surgery Physician
- Chattanooga, TN
National Provider Identifier
1396983763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD0000020999
- Legal business name
- DAVID W ADCOCK MD PLLC
- Practice address
- 251 N Lyerly St
Suite 200
Chattanooga, TN 37404-2728 - Phone
- (423) 648-5525
- Fax
- (423) 648-5240
- NPI assigned
- Jan 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David William Adcock, M.D.
- Title
- Owner
- Phone
- (423) 648-5525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD0000020999 | TN | Primary |
Addresses
Primary practice location
251 N Lyerly St
Suite 200
Chattanooga, TN 37404-2728
Mailing address
251 N Lyerly St
Suite 200
Chattanooga, TN 37404-2728
Phone (423) 648-5525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4059237 | Other | TN | BLUE CROSS BLUE SHIELD OF TENNESSEE |
| 305312874A | Medicaid | GA |
Other names 1
- Aesthetic Plastic & Reconstructive Surgery
National Provider Directory
National Provider DirectoryLocations
7305 Jarnigan Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 485-9200
251 N Lyerly St
Ste 200
Chattanooga, TN 37404
Phone (423) 648-5525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242345600000",
"number": "1396983763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 N LYERLY ST",
"address_2": "SUITE 200",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042728",
"telephone_number": "423-648-5525",
"fax_number": "423-648-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N LYERLY ST",
"address_2": "SUITE 200",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042728",
"telephone_number": "423-648-5525",
"fax_number": "423-648-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W ADCOCK MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-23",
"last_updated": "2009-05-15",
"status": "A",
"authorized_official_last_name": "ADCOCK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-648-5525",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "TN",
"license": "MD0000020999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
"identifier": "4059237",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305312874A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aesthetic Plastic & Reconstructive Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.