NPIMap

Organization Active NPI

Chattanooga Children'S Clinic, PLLC

  • Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1497095772
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHATTANOOGA CHILDREN'S CLINIC, PLLC
Practice address
403 Spring Creek Rd
Chattanooga, TN 37411-4922
Phone
(423) 855-6868
NPI assigned
Feb 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Zara Memon, MDNPI 1588605752
Title
Owner
Phone
(423) 855-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X TN Primary

Addresses

Primary practice location

403 Spring Creek Rd
Chattanooga, TN 37411-4922

Mailing address

403 Spring Creek Rd
Chattanooga, TN 37411-4922
Phone (423) 855-6868

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2059352Chattanooga Children'S Clinic, PLLC403 Spring Creek Rd, Chattanooga, TN 37411ComplianceJun 23, 2028

National Provider Directory

National Provider Directory

Locations

403 Spring Creek Rd
Chattanooga, TN 37411
Phone (423) 855-6868

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1497095772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114922",
            "telephone_number": "423-855-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114922",
            "telephone_number": "423-855-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA CHILDREN'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "ZARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-855-6868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.