Chota Community Health Services
Organization Active NPI Family Medicine Physician · Tellico Plains, TN
NPI 1407104458 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1407104458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CHOTA COMMUNITY HEALTH SERVICES
- Practice address
- 395 Daugherty Spring Rd
Tellico Plains, TN 37385-5604 - Phone
- (423) 253-3551
- NPI assigned
- Aug 23, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- CHOTA COMMUNITY HEALTH SERVICES
Authorized official
- Name
- Laura Harris
- Title
- Ceo
- Phone
- (423) 442-7268
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 15
Practitioners 4
-
Mary Keller Brown, FNP
-
Jordan Michael Newman, FNP-BC
-
William J Thornton, APN
-
Kara Rachelle Callear, DNP, FNP-BC, SCRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040527001293 | TN | Part B Supplier - Clinic/Group Practice | 9436130135 |
Receives reassigned benefits from 18 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Madisonville, TN; Vonore, TN; Tellico Plains, TN; Sweetwater, TN |
National Provider Directory
- Tax ID family
- Chota Community Health Services
- Part of
- Chota Community Health Services
Locations
4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271
175 Oak Grove Rd
Madisonville, TN 37354
Phone (423) 442-4137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
395 Daugherty Spring Rd
Tellico Plains, TN 37385-5604
Mailing address
PO Box 278
Madisonville, TN 37354-0278
Phone (423) 442-2622
Other names
- Rural Vale School Based Clinic
Other providers in Tellico Plains, TN
- Agilitas USA, Inc
- Benchmark Healthcare Services LLC
- Amanda Domangue Bourg
- Brent Tyler Choate
- Chota Community Health Services
- Chota Community Health Services
- Chota Community Health Services
- Chota Community Health Services
- Chota Community Health Services
- Michelle Lynn Conley
All providers in Tellico Plains, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.