Individual provider Active NPI

Jon H Risley, M.D.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1417923293
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40959 Issued in TN
Practice address
150 Debra Rd
Chattanooga, TN 37411-5616
Phone
(423) 893-6500
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200101487 NC
Family Medicine Physician 207Q00000X 038933 GA
Family Medicine Physician 207Q00000X 40959 TN Primary

Addresses

Primary practice location

150 Debra Rd
Chattanooga, TN 37411-5616

Mailing address

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 988-2014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061005000368 GA Practitioner - Family Practice 9032183595 Reassigns benefits to 1 organization
I20061211000584 TN Practitioner - Family Practice 9032183595 Reassigns benefits to 1 organization
I20191205001899 AL Practitioner - Family Practice 9032183595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians
Utm of Georgia Physicians LLCGroup PAC ID 5991138307, 14 clinicians

Practice addresses (Care Compare)

2445 Memorial Blvd
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

400 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3847
Phone (706) 944-9018

403 McBrien Rd
East Ridge, TN 37412-3223
Phone (423) 894-3589

419 N Market St
Chattanooga, TN 37405-3974
Phone (423) 414-3012

625 E 12TH St
South Pittsburg, TN 37380-1630
Phone (423) 648-4460

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038933GAMDFamily Medicine Physician
200101487NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care, Inc. CurrentSince Sep 29, 2019 Accepting new patients
Crossroads Urgent Care PLLC Family Medicine CurrentSince May 16, 2016 Accepting new patients
Crossroads Urgent Care PLLC Family Medicine CurrentSince May 16, 2016 Accepting new patients
Utm of Georgia Physicians LLC Family Medicine CurrentSince Nov 18, 2019 Accepting new patients
Advantage Family Care Inc Family Medicine CurrentSince Sep 29, 2019 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Coverage, LLC Family Medicine Past Accepting new patients

Locations

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

14451 Highway 231 431 N
Ste A
Hazel Green, AL 35750
Phone (256) 829-6025

900 Bob Wallace Ave SW
Ste 104
Huntsville, AL 35801
Phone (256) 539-0781

300 Hughes Rd
Ste G2
Madison, AL 35758
Phone (256) 542-0230

1209 W Walnut Ave
Ste 1
Dalton, GA 30720
Phone (706) 226-2200

400 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 944-9018

2021 Hamilton Place Blvd
Chattanooga, TN 37421
Phone (423) 855-9285

419 N Market St
Ste 100
Chattanooga, TN 37405
Phone (423) 414-3012

4747 Highway 58
Chattanooga, TN 37416
Phone (423) 648-4500

2021 Hamilton Place Blvd
Ste G
Chattanooga, TN 37421
Phone (423) 899-6222

403 McBrien Rd
East Ridge, TN 37412
Phone (423) 875-0700

4490 Hixson Pike
Hixson, TN 37343
Phone (423) 875-0700

525 W Broadway Ave
Maryville, TN 37801
Phone (865) 268-4265

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

625 E 12th St
South Pittsburg, TN 37380
Phone (423) 648-4460

Organizations & group practices 7

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1417923293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DEBRA RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115616",
            "telephone_number": "423-893-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISLEY",
        "first_name": "JON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200101487",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "038933",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "40959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.