Individual provider Active NPI

Charles Hunter Roark, DO

  • Neurology Physician
  • Chattanooga, TN
National Provider Identifier
1497216501
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5205 Issued in TN
Practice address
513 Dodds Ave Ste 103
Chattanooga, TN 37404-3909
Phone
(423) 698-3423
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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
Neurology Physician 2084N0400X 5205 TN Primary

Addresses

Primary practice location

513 Dodds Ave Ste 103
Chattanooga, TN 37404-3909

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

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
I20240509000183 TN Practitioner - Neurology 2163863036 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Alabama College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Imaging, LLCGroup PAC ID 4789639311, 17 clinicians
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians
Continuum Health Aic, IncGroup PAC ID 0143626382, 13 clinicians

Practice addresses (Care Compare)

1301 McCallie Ave
Chattanooga, TN 37404-2934
Phone (423) 622-4700

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

513 Dodds Ave
Suite 103
Chattanooga, TN 37404-3909
Phone (423) 698-3423

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Chattanooga, TN, CCN 447495
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Siskin Hospital for Physical Rehabilitation Inpatient rehabilitation facility, Chattanooga, TN, CCN 443025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5205TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Health Aic Inc Current Accepting new patients
Prime Imaging, LLC CurrentSince Jan 23, 2025 Accepting new patients
Continuum Health Aic Inc CurrentSince Mar 25, 2025 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 1, 2024 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince May 1, 2024 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Dec 15, 2025 Accepting new patients
Continuum Health Aic Inc CurrentSince Mar 25, 2025 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Dec 15, 2025 Accepting new patients
Continuum Health Aic Inc Past Accepting new patients

Locations

2 Perimeter Park S
Ste 260E
Birmingham, AL 35243

2 Perimeter Park S
Ste 260
Birmingham, AL 35243

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

1301 McCallie Ave
Chattanooga, TN 37404
Phone (423) 622-4700

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

513 Dodds Ave
Ste 103
Chattanooga, TN 37404
Phone (423) 698-3423

513 Dodds Ave
Ste 105
Chattanooga, TN 37404
Phone (423) 698-3423

1604 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 648-2395

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

2210 Sutherland Ave
Ste 114
Knoxville, TN 37919
Phone (865) 525-1099

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Organizations & group practices 9

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 5

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1497216501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 DODDS AVE STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043909",
            "telephone_number": "423-698-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "CHARLES",
        "middle_name": "HUNTER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "5205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.