Active NPI
Simon Choi, MD
- Psychiatry Physician
- Chattanooga, TN
National Provider Identifier
1457917908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 67619
- Practice address
- 7429 Shallowford Rd
Chattanooga, TN 37421-2629 - Phone
- (423) 308-2560
- NPI assigned
- May 9, 2019
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 67619 | TN | Primary |
Addresses
Primary practice location
7429 Shallowford Rd
Chattanooga, TN 37421-2629
Mailing address
7429 Shallowford Rd
Chattanooga, TN 37421-2629
Phone (423) 308-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191028000446 | TX | Order and Referring Only - Psychiatry | 4082946926 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67619 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Healthcare of Tennessee | Current | Accepting new patients |
Locations
7429 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 308-2560
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Chattanooga, TN
- NPI 1396764304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1457917908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7429 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212629",
"telephone_number": "423-308-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7429 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212629",
"telephone_number": "423-308-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "SIMON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "67619",
"primary": true
}
],
"identifiers": [],
"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 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.