Active NPI
Nancy G. Michaelis, M.D.
- Internal Medicine Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD0000051271
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010230934 | Medicaid | VA | |
| 010222559 | Medicaid | VA | |
| Q006729 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000051271 | TN | MD | Internal Medicine Physician |
| 0101047020 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Hamilton County Hospital Authority | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Internal Medicine, TN
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Federally Qualified Health Center (FQHC)
- Chattanooga, TN
- NPI 1609961549
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
-
- Specialist
- Covington, LA
- NPI 1356395099
-
- Internal Medicine Physician
- Pasadena, TX
- NPI 1104868975
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Orthopaedic Surgery Physician
- Suffolk, VA
- NPI 1831426204
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1588693725
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": "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
- Michael D Vaughan DDS and Associates of Chattanooga PLLC
- Michael Duvall DDS PLLC
- Michael Geer PC
- Michael J.Revenig DDS, Glenn D. Wilson DDS, PLLC
- Michael W Goodman MD PC
- David J Michaels, AGACNP-BC
- Ashlee N Micheff, RN
- Joan Stewart Mickles, NCC
- Walter J Mickulick, M.A., MPA
- Mid-South Surgical Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.