Individual provider Active NPI

Christine Beville Myers, M.D.

  • Internal Medicine Physician
  • Ooltewah, TN
National Provider Identifier
1487641809
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22528 Issued in AL
Practice address
9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone
(423) 531-9110
Fax
(423) 476-5887
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22528 AL Primary

Addresses

Primary practice location

9058 Old Lee Hwy
Ooltewah, TN 37363-5631

Mailing address

9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone (423) 531-9110

Other identifiers 1

IdentifierTypeStateIssuer
009959055MedicaidAL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160901001925 TN Practitioner - Internal Medicine 3476533712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525

Hospital & facility affiliations

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
22528ALMDInternal Medicine Physician
41485TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc CurrentSince May 20, 2023 Accepting new patients
DX Mso, PLLC CurrentSince Jul 9, 2016 Accepting new patients
Memorial Health Partners Foundation, Inc Internal Medicine CurrentSince May 20, 2023 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Aug 19, 2022 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC PastSince Mar 13, 2022 Accepting new patients
Cleveland Medical Clinic Inc Internal Medicine Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

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

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

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

9058 Old Lee Hwy
Ooltewah, TN 37363
Phone (423) 531-9110

Organizations & group practices 6

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 3

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1487641809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9058 OLD LEE HWY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635631",
            "telephone_number": "423-531-9110",
            "fax_number": "423-476-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9058 OLD LEE HWY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635631",
            "telephone_number": "423-531-9110",
            "fax_number": "423-476-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHRISTINE",
        "middle_name": "BEVILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009959055",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.