Individual provider Active NPI

Colleen Maclin Schmitt, MD

  • Gastroenterology Physician
  • Ooltewah, TN
National Provider Identifier
1528023512
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25672 Issued in TN
Practice address
8051 Thunder Farms TRL
Ooltewah, TN 37363-7146
Phone
(423) 645-5889
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25672 TN Primary

Addresses

Primary practice location

8051 Thunder Farms TRL
Ooltewah, TN 37363-7146

Mailing address

8051 Thunder Farms TRL
Ooltewah, TN 37363-7146
Phone (423) 645-5889

Other identifiers 1

IdentifierTypeStateIssuer
3084154MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Pharmacy, LLC Current Accepting new patients
Ut Physicians Inc Past Accepting new patients
Galen Medical Group PC PastSince Jul 24, 2022 Accepting new patients

Locations

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1528023512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 THUNDER FARMS TRL",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637146",
            "telephone_number": "423-645-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 THUNDER FARMS TRL",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637146",
            "telephone_number": "423-645-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "COLLEEN",
        "middle_name": "MACLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "25672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084154",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.