Organization Active NPI

Chattanooga Hamilton County Hospital Authority

Doing business as University Hospitalists

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1407034028
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
Doing business as
University Hospitalists
Practice address
975 E 3Rd St
Chattanooga, TN 37403-2103
Phone
(423) 266-1490
Fax
(423) 648-4570
NPI assigned
Feb 6, 2008
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Lynn Dejaco
Title
Cfo, Evp
Phone
(423) 778-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

975 E 3Rd St
Chattanooga, TN 37403-2103

Mailing address

PO Box 70
Chattanooga, TN 37401-0070
Phone (423) 778-3274

Other names 1

  • University Hospitalists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302001086 TN Part B Supplier - Clinic/Group Practice 0547179731 Receives reassigned benefits from 565 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 34)

1329 W Walnut Ave
Dalton, GA 30720
Phone (423) 778-9901

1329 W Walnut Ave
Ste 1
Dalton, GA 30720
Phone (423) 778-9901

1635 Gunbarrel Rd
Ste 340
Chattanooga, TN 37421
Phone (423) 778-5693

1635 Gunbarrel Rd
Ste 400
Chattanooga, TN 37421
Phone (423) 778-5693

1720 Gunbarrel Rd
Ste 110
Chattanooga, TN 37421
Phone (423) 894-6752

1751 Gunbarrel Rd
#206
Chattanooga, TN 37421

1751 Gunbarrel Rd
Ste 301
Chattanooga, TN 37421

1751 Gunbarrel Rd
Ste B101
Chattanooga, TN 37421

1751 Gunbarrel Rd
Ste B201
Chattanooga, TN 37421

1755 E 3Rd St Ste 206
Chattanooga, TN 37404

1801 Gunbarrel Rd
Ste 101
Chattanooga, TN 37421

1809 Gunbarrel Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 893-9020

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

632 Morrison Springs Rd
#302
Chattanooga, TN 37415

632 Morrison Springs Rd
Ste 20
Chattanooga, TN 37415

915 E 3Rd St 553
Chattanooga, TN 37403

975 E 3rd St
#B200
Chattanooga, TN 37403

975 E 3rd St
Ste B601
Chattanooga, TN 37403
Phone (423) 778-8179

975 E 3rd St
Ste C925
Chattanooga, TN 37403

979 E 3rd St
Ste 1010
Chattanooga, TN 37403
Phone (423) 265-9500

979 E 3rd St
Ste 550
Chattanooga, TN 37403

979 E 3rd St
Ste 925
Chattanooga, TN 37403

979 E 3rd St
Ste A450
Chattanooga, TN 37403
Phone (423) 778-5910

979 E 3rd St
Ste C735
Chattanooga, TN 37403
Phone (423) 778-9101

979 E 3rd St
Ste C925
Chattanooga, TN 37403
Phone (423) 778-5910

Practitioners & affiliated clinicians

Practitioners 143

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.

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1407034028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374010070",
            "telephone_number": "423-778-3274",
            "fax_number": "423-778-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032103",
            "telephone_number": "423-266-1490",
            "fax_number": "423-648-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "DEJACO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CFO, EVP",
        "authorized_official_telephone_number": "423-778-7212"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Hospitalists",
            "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 Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.