Individual provider Active NPI

Erin Olsen Pierce, M.D.

  • Pediatrics Physician
  • Madison, AL
National Provider Identifier
1417488180
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.40979 Issued in AL
Practice address
8490 Highway 72 W Ste 100
Madison, AL 35758-9575
Phone
(256) 724-3587
Fax
(601) 984-2086
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.40979 AL Primary
Pediatrics Physician 208000000X 61492 TN

Addresses

Primary practice location

8490 Highway 72 W Ste 100
Madison, AL 35758-9575

Mailing address

82 S Crest Rd
Chattanooga, TN 37404-4005
Phone (662) 617-1266

Other identifiers 2

IdentifierTypeStateIssuer
61492OtherTNTENNESSEE STATE LICENSE
MD.40979OtherALAL STATE LICENSE

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
I20210211001371 TN Practitioner - Pediatric Medicine 3072886373 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care for Children, PLLC Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince May 5, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority Pediatrics CurrentSince May 5, 2022 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

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

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

5215 Highway 153
Ste 105
Hixson, TN 37343
Phone (423) 664-1151

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1417488180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 S CREST RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374044005",
            "telephone_number": "662-617-1266",
            "fax_number": "256-289-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 HIGHWAY 72 W STE 100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589575",
            "telephone_number": "256-724-3587",
            "fax_number": "601-984-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "ERIN",
        "middle_name": "OLSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.40979",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "61492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE STATE LICENSE",
            "identifier": "61492",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL STATE LICENSE",
            "identifier": "MD.40979",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.