Active NPI
Michael S. Loga, MSN, FNP-C
- Family Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12243
- Practice address
- 2108 E 3Rd St
Suite 300
Chattanooga, TN 37404-2600 - Phone
- (423) 624-5200
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12243 | TN | Primary |
Addresses
Primary practice location
2108 E 3Rd St
Suite 300
Chattanooga, TN 37404-2600
Mailing address
2501 Citico Ave
Chattanooga, TN 37404-1127
Phone (423) 697-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12243 | Other | TN | APN 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Citico Ave
Chattanooga, TN 37404-1127
Phone (423) 697-2000
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525
Hospital & facility affiliations
- Memorial Healthcare System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12243 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Care System, Inc. | Current | Accepting new patients | |
| Cardiovascular Group, PC | Current | Accepting new patients | |
| Memorial Health Care System Inc. | Current | Accepting new patients |
Locations
2108 E 3rd St
Ste 300
Chattanooga, TN 37404
Phone (423) 624-5200
2501 Citico Ave
Chattanooga, TN 37404
Phone (423) 697-2318
2501 Citico Ave
Fl 3
Chattanooga, TN 37404
Phone (423) 629-6550
2525 Desales Ave
Ste F1009
Chattanooga, TN 37404
Phone (423) 624-5200
Interoperability endpoints
- michael.loga@direct.chattanoogaheart.nextgenshare.com
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.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- Cardiovascular Disease Physician
- Chattanooga, TN
- NPI 1912906181
-
- Cardiovascular Disease Physician
- Chattanooga, TN
- NPI 1851695480
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1427147461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CITICO AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041127",
"telephone_number": "423-697-2000",
"fax_number": "423-697-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 E 3RD ST",
"address_2": "SUITE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042600",
"telephone_number": "423-624-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGA",
"first_name": "MICHAEL",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "12243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE",
"identifier": "12243",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.