Active NPI
Betsy M Calloway, FNP
- Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 37691
- Practice address
- 2525 Desales Ave
Chattanooga, TN 37404-1161 - Phone
- (423) 495-7404
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 37691 | TN | Primary |
Addresses
Primary practice location
2525 Desales Ave
Chattanooga, TN 37404-1161
Mailing address
305 Edgemond Cir
Ringgold, GA 30736-5259
Phone (423) 774-0025
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
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525
Hospital & facility affiliations
- Memorial Healthcare System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37691 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients |
Locations
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
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": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1467277129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EDGEMOND CIR",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307365259",
"telephone_number": "423-774-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 DESALES AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041161",
"telephone_number": "423-495-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLOWAY",
"first_name": "BETSY",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "37691",
"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 Nov 18, 2024; 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.