Individual provider Active NPI

Stephen L Kerley, DO

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1528048634
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1403 Issued in TN
Practice address
7155 Lee Hwy Ste 200
Chattanooga, TN 37421
Phone
(423) 551-3560
Fax
(423) 551-3561
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1403 TN Primary

Addresses

Primary practice location

7155 Lee Hwy Ste 200
Chattanooga, TN 37421

Mailing address

7155 Lee Hwy Ste 200
Chattanooga, TN 37421-0801
Phone (423) 551-3560

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
I20040618000479 TN Practitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 5698750305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7155 Lee Hwy
Suite 200
Chattanooga, TN 37421-0801
Phone (423) 551-3560

7155 Lee Hwy 200
Chattanooga, TN 37421-0801

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga OB GYN Group, PLLC Obstetrics & Gynecology CurrentSince Oct 20, 2014 Accepting new patients
Erlanger Health Past Accepting new patients
Obstetrics and Gynecological Foundation Obstetrics & Gynecology Past Accepting new patients
Womens Health Services Chattanooga PC Obstetrics & Gynecology Past Accepting new patients
Galen Medical Group, PC Obstetrics & Gynecology PastSince Dec 1, 1993 Accepting new patients

Locations

7161 Lee Hwy
#500B
Chattanooga, TN 37421
Phone (423) 551-3560

7155 Lee Hwy
Ste 200
Chattanooga, TN 37421
Phone (423) 551-3560

Organizations & group practices 5

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1528048634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 LEE HWY STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210801",
            "telephone_number": "423-551-3560",
            "fax_number": "423-551-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 LEE HWY STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-551-3560",
            "fax_number": "423-551-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLEY",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.