Individual provider Active NPI

Nancy G. Michaelis, M.D.

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1467452425
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000051271 Issued in TN
Practice address
975 East Third Street
Chattanooga, TN 37403
Phone
(423) 266-1490
Fax
(423) 778-2108
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101047020 VA
Internal Medicine Physician 207R00000X MD0000051271 TN Primary

Addresses

Primary practice location

975 East Third Street
Chattanooga, TN 37403

Mailing address

975 East Third Street
Attn: Provider Enrollment
Chattanooga, TN 37403-2147
Phone (423) 778-3110

Other identifiers 3

IdentifierTypeStateIssuer
010230934MedicaidVA
010222559MedicaidVA
Q006729MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140725001802 TN Practitioner - Internal Medicine 0840102489 Reassigns benefits to 4 organizations
I20191211002841 GA Practitioner - Internal Medicine 0840102489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Practice addresses (Care Compare)

100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643
Phone (706) 858-2445

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 492-4734

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000051271TNMDInternal Medicine Physician
0101047020VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority Internal Medicine Current Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2016 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jul 1, 2014 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2016 Accepting new patients
Memorial Health Partners Foundation, Inc Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients
Maryview Hospital Past Accepting new patients
DRS. Samuels & Huddleston, Apmc Past Accepting new patients
Primedoc of Norfolk PC Internal Medicine Past Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: nmichaelis@yourcarecommunity.org

Organizations & group practices 12

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.

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1467452425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 EAST THIRD STREET",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-3110",
            "fax_number": "423-778-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 EAST THIRD STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-266-1490",
            "fax_number": "423-778-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIS",
        "first_name": "NANCY",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101047020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000051271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010230934",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010222559",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006729",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.