Advance Care Medical PCP Tennessee

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ADVANCE CARE MEDICAL PCP TENNESSEE

Practice address

6238 Lee Hwy
Chattanooga, TN 37421-2997

Phone

(866) 668-2188

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Douglas Millar

Title

Senior Advisor

Phone

(917) 673-6321

Specialties & licenses 1

Addresses

Other names 1

• Advance Care Medical Chattanooga TN Doing business as

Practitioners 2

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

• Robert J Crouch III, PA

  • Physician Assistant
  • Clarksville, TN
  • NPI 1477628865
  NPD
• Amgad Khalil

  • Physician Assistant
  • Nashville, TN
  • NPI 1639707722
  NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1497400758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST STE 303",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422548",
            "telephone_number": "866-668-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212997",
            "telephone_number": "866-668-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE MEDICAL PCP TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "MILLAR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SENIOR ADVISOR",
        "authorized_official_telephone_number": "917-673-6321"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Medical Chattanooga TN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Care Medical Chattanooga TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Talitha A Adkins
• William Adkisson II
• Admed, P.C.
• Adr Transporting Company
• Adult Medicine Health Center PC
• Advance Care Medical Tennessee, Inc.
• Advanced Behavioral-Emotional Care Services, LLC.
• Advanced Behavioral-Emotional Care Services, LLC.
• Advanced Center for Sleep Disorders, Inc
• Advanced Center for Sleep Disorders, Inc.

• Primary Care Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.