NPIMap

Individual provider Active NPI

Jessie Lanett Varnell, M.D.

  • Diagnostic Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1528040425
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD0000035919 Issued in TN
Practice address
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone
(423) 495-4430
Fax
(423) 495-6179
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD0000035919 TN Primary

Addresses

Primary practice location

2525 Desales Ave
Chattanooga, TN 37404-1161

Mailing address

601 Dodds Ave
Chattanooga, TN 37404-3911
Phone (423) 629-9783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100521000515 TN Practitioner - Diagnostic Radiology 9537242920 Reassigns benefits to 1 organization
I20200901003101 GA Practitioner - Diagnostic Radiology 9537242920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Alabama College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Consultants IncGroup PAC ID 7618949520, 15 clinicians

Practice addresses (Care Compare)

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-4430

400 Berywood TRL NW
Suite a
Cleveland, TN 37312-5288
Phone (423) 826-8220

4700 Battlefield Pkwy
Ringgold, GA 30736-5166
Phone (866) 730-5619

6401 Mountain View Rd
Ooltewah, TN 37363-6681
Phone (423) 826-8220

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11062ALMDPharmacotherapy Pharmacist
MD0000035919TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Memorial Hospital - Georgia CurrentSince Aug 3, 2020 Accepting new patients
Diagnostic Imaging Consultants Inc Diagnostic Radiology CurrentSince Jan 6, 2003 Accepting new patients
Memorial Health Care System, Inc. Past Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

4700 Battlefield Pkwy
Ste 100
Ringgold, GA 30736
Phone (706) 806-0170

4700 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8000

601 Dodds Ave
Chattanooga, TN 37404
Phone (423) 629-9783

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

400 Berywood Trl NW
Ste A
Cleveland, TN 37312
Phone (423) 697-3560

6401 Mountain View Rd
Ooltewah, TN 37363

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14399/brand/2/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1528040425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043911",
            "telephone_number": "423-629-9783",
            "fax_number": "423-698-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041161",
            "telephone_number": "423-495-4430",
            "fax_number": "423-495-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNELL",
        "first_name": "JESSIE",
        "middle_name": "LANETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000035919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.