Individual provider Active NPI

Otis Brandon Forrester, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1447362736
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29396 Issued in TN
Practice address
6141 Shallowford Rd Ste 100
Chattanooga, TN 37421-1663
Phone
(423) 498-2000
Fax
(423) 498-2001
NPI assigned
Aug 31, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29396 TN Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 29396 TN

Addresses

Primary practice location

6141 Shallowford Rd Ste 100
Chattanooga, TN 37421-1663

Mailing address

2550 Executive Park Drive NE
Cleveland, TN 37311
Phone (423) 339-9581

Other practice location 1

2130 Chambliss Ave NW
Cleveland, TN 37311-3839
Phone (423) 498-2000

Other practice location 2

2550 Executive Park Drive NE
Cleveland, TN 37311
Phone (423) 339-9581

Other practice location 3

4962 Battlefield Pkwy
Ringgold, GA 30736-8071
Phone (423) 498-2000

Other identifiers 2

IdentifierTypeStateIssuer
003298469AMedicaidGA
3973927MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210902002267 TN Practitioner - Nurse Practitioner 6103836788 Reassigns benefits to 3 organizations
I20260313001306 GA Practitioner - Nurse Practitioner 6103836788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain ConsultantsGroup PAC ID 7416323514, 16 clinicians
Restoration Recovery PLLCGroup PAC ID 2961777446, 5 clinicians

Practice addresses (Care Compare)

102 Dunhill PL NW
Cleveland, TN 37311-3885
Phone (423) 339-9581

6141 Shallowford Rd
Suite 100
Chattanooga, TN 37421-1663
Phone (423) 498-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
29396TNMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Consultants CurrentSince Dec 5, 2022 Accepting new patients
Elite Pain Consultants, PLLC CurrentSince Jan 15, 2022 Accepting new patients
Interventional Pain Consultants CurrentSince Dec 5, 2022 Accepting new patients
Restoration Recovery, PLLC Addiction Medicine CurrentSince May 9, 2023 Accepting new patients
Woodrow W. Gwinn Jr. Chiropractor Past Accepting new patients
Chattanooga Skin & Cancer Clinic Past Accepting new patients
Woodrow W Gwinn Jr Chiropractor Past Accepting new patients
Birthcare & Womens Health PastSince May 9, 2023 Accepting new patients

Locations

4962 Battlefield Pkwy
Ringgold, GA 30736
Phone (423) 498-2000

4964 Battlefield Pkwy
Ste C
Ringgold, GA 30736
Phone (423) 498-2000

6141 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 498-2000

6141 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 498-2000

102 Dunhill Pl NW
Cleveland, TN 37311
Phone (423) 339-9581

2130 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 498-2000

2550 Business Park Dr NE
Cleveland, TN 37311
Phone (423) 339-8881

11416 Grigsby Chapel Rd
Ste 104
Knoxville, TN 37934
Phone (865) 218-2100

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1447362736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 EXECUTIVE PARK DRIVE NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-339-9581",
            "fax_number": "423-472-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211663",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Chambliss Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113839",
            "country_code": "US",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Executive Park Drive NE",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "37311",
            "country_code": "US",
            "telephone_number": "423-339-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4962 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307368071",
            "country_code": "US",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "OTIS",
        "middle_name": "BRANDON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29396",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "29396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003298469A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3973927",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.