Active NPI
Hormones 4 Life LLC
- Gynecology Physician
- Chattanooga, TN
National Provider Identifier
1487190914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 29653
- Legal business name
- HORMONES 4 LIFE LLC
- Doing business as
- Chattanooga Women for Women
- Practice address
- 3172 Waterfront Dr
Chattanooga, TN 37419-1541 - Phone
- (859) 321-0637
- NPI assigned
- Jan 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrea Kaye Galloway, MD
- Title
- Managing Member
- Phone
- (859) 321-0637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 29653 | TN | Primary |
Addresses
Primary practice location
3172 Waterfront Dr
Chattanooga, TN 37419-1541
Mailing address
3172 Waterfront Dr
Chattanooga, TN 37419-1541
Phone (859) 321-0637
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q013665 | Medicaid | TN | |
| 7100113860 | Medicaid | KY |
Other names 1
- Chattanooga Women for Women
National Provider Directory
National Provider DirectoryLocations
1008 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 443-3336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483833600000",
"number": "1487190914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3172 WATERFRONT DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374191541",
"telephone_number": "859-321-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3172 WATERFRONT DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374191541",
"telephone_number": "859-321-0637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORMONES 4 LIFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-08",
"last_updated": "2017-01-08",
"status": "A",
"authorized_official_last_name": "GALLOWAY",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "KAYE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "859-321-0637",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "29653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q013665",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100113860",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chattanooga Women for Women",
"code": "3",
"type": "Doing Business As"
}
]
}
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 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.