Chota Community Health Services

Organization Active NPI Family Medicine Physician · Tellico Plains, TN

NPI 1477823672 · NPPES record last updated Jun 9, 2025

Key facts

NPI
1477823672
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CHOTA COMMUNITY HEALTH SERVICES
Practice address
121 Old High School Rd
Tellico Plains, TN 37385-4965
Phone
(423) 442-2622
NPI assigned
Jan 4, 2012
Organization subpart
Yes
Parent organization (as reported)
CHOTA COMMUNITY HEALTH SERVICES

Authorized official

Name
Mrs. Laura Harris
Title
Ceo
Phone
(423) 442-7268

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040527001293 TN Part B Supplier - Clinic/Group Practice 9436130135 Receives reassigned benefits from 18 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madisonville, TN; Vonore, TN; Tellico Plains, TN; Sweetwater, TN

National Provider Directory

Tax ID family
Chota Community Health Services (16 organizations share this tax ID)
Part of
Chota Community Health Services

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X

Addresses

Primary practice location

121 Old High School Rd
Tellico Plains, TN 37385-4965

Mailing address

PO Box 278
Madisonville, TN 37354-0278
Phone (423) 442-2622

Other names

  • Tellico Plains Elementary School Based Clinic Other name

Other providers in Tellico Plains, TN

All providers in Tellico Plains, TN · Family Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.