Individual provider Active NPI

Roxy Gazaway

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1487279139
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27673 Issued in TN
Practice address
721 Glenwood Dr Ste W560
Chattanooga, TN 37404-1129
Phone
(423) 622-2494
Fax
(423) 622-4532
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27673 TN Primary

Addresses

Primary practice location

721 Glenwood Dr Ste W560
Chattanooga, TN 37404-1129

Mailing address

721 Glenwood Dr Ste W560
Chattanooga, TN 37404-1129
Phone (423) 622-2494

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roxy@surg-oncology.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804000776 TN Practitioner - Nurse Practitioner 8224453519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1032 McCallie Ave
Suite 200
Chattanooga, TN 37403-2836
Phone (423) 708-6495

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Jun 20, 2022 Accepting new patients

Locations

1032 McCallie Ave
Chattanooga, TN 37403
Phone (423) 266-4588

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

4488 Carothers Pkwy
Ste 310
Franklin, TN 37067
Phone (615) 986-4330

250 25th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 320-5090

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • Direct secure messaging: rgazaway231553@direct.stlukeshealth.org

Organizations & group practices 1

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1487279139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR STE W560",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041129",
            "telephone_number": "423-622-2494",
            "fax_number": "423-622-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR STE W560",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041129",
            "telephone_number": "423-622-2494",
            "fax_number": "423-622-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZAWAY",
        "first_name": "ROXY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roxy@surg-oncology.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "721 Glenwood Dr Ste W560",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374041129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.