Judith J Boggess, M.D.
Individual provider Active NPI Internal Medicine Physician · East Ridge, TN
NPI 1457315848 · NPPES record last updated Nov 23, 2019
Key facts
- NPI
- 1457315848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 41642 (TN)
- Practice address
- 1508 Tombras Ave
East Ridge, TN 37412-2720 - Phone
- (423) 867-4969
- Fax
- (423) 805-4213
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Your Good Health, LLC
Practice addresses (Care Compare)
1508 Tombras Ave
East Ridge, TN 37412-2720
Phone (423) 867-4969
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070307000081 | TN | Practitioner - Internal Medicine | 6406959717 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41642 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
Locations
1234 Frye St
Athens, TN 37303
Phone (423) 581-8844
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- judith.boggess@ingoodhealth.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 41642 | TN | Yes |
Addresses
Primary practice location
1508 Tombras Ave
East Ridge, TN 37412-2720
Mailing address
1508 Tombras Ave
East Ridge, TN 37412-2720
Phone (423) 867-4969
Other names
- J Joy Boggess
Other providers in East Ridge, TN
- Gary H Ballard
- Madison Christine Bankston
- Ray Gene Belanger
- Benchmark Healthcare Services LLC
- Patricia Diane Blasick
- Mark W Bookout
- Jessica Briscoe
- David Grant Brogdon
- Alex Bryant
- BSK Enterprises, LLC
All providers in East Ridge, TN · Internal 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 Nov 23, 2019. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.