Individual provider Active NPI

Christopher Phelps, D.O.

  • Diagnostic Ultrasound Physician
  • Nashville, TN
National Provider Identifier
1497164909
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
0000003661 Issued in TN
Practice address
1161 21St Ave S Ste CCC 1118
Nashville, TN 37232-4701
Phone
(615) 322-3000
NPI assigned
Aug 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Ultrasound Physician 2085U0001X 0000003661 TN Primary

Addresses

Primary practice location

1161 21St Ave S Ste CCC 1118
Nashville, TN 37232-4701

Mailing address

719 Thompson LN Ste 30330
Nashville, TN 37204-4701
Phone (615) 322-3000

Other practice location 1

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (423) 341-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190801000355 TN Practitioner - Diagnostic Radiology 2062748866 Reassigns benefits to 7 organizations
I20210722001431 VA Practitioner - Diagnostic Radiology 2062748866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200

105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 244-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3661TNMDMental Health Counselor
0000003661TNMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Imaging, LLC CurrentSince Jul 1, 2019 Accepting new patients
Vanderbilt Imaging Services, LLC CurrentSince Jul 1, 2019 Accepting new patients
Mountain Empire Radiology Inc PC CurrentSince Jul 1, 2020 Accepting new patients
State of Franklin Healthcare Associates PLLC Diagnostic Ultrasound CurrentSince Aug 1, 2022 Accepting new patients
Blue Ridge Radiology, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Vanderbilt University Medical Center CurrentSince Jul 1, 2019 Accepting new patients
One Hundred Oaks Imaging, LLC CurrentSince Jul 1, 2019 Accepting new patients
Tuhc Radiology Group LLC Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

2009 Mallory Ln
Ste 150
Franklin, TN 37067
Phone (615) 771-8668

818 Sunset Dr
Johnson City, TN 37604
Phone (423) 794-5500

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

300 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-1000

208 Sunset Dr
Ste 370
Johnson City, TN 37604
Phone (423) 926-4966

818 Sunset Dr
Ste 100
Johnson City, TN 37604
Phone (423) 433-6644

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

444 Clinchfield St
Ste 203
Kingsport, TN 37660
Phone (423) 794-5742

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

1909 Acklen Ave
Nashville, TN 37212
Phone (615) 777-9729

719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 7

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1497164909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 THOMPSON LN STE 30330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044701",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S STE CCC 1118",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372324701",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "423-341-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-08",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TN",
            "license": "0000003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.