Individual provider Active NPI

Phillip G Tallent, M.D.

  • Neurology Physician
  • Chattanooga, TN
National Provider Identifier
1528085412
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
42309 Issued in TN
Practice address
721 Glenwood Drive
Suite 467
Chattanooga, TN 37404
Phone
(423) 698-3423
Fax
(423) 698-1380
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 102492 MN
Neurology Physician 2084N0400X 49063 MN
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 42309 TN
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 057255 GA
Neurology Physician 2084N0400X 42309 TN Primary

Addresses

Primary practice location

721 Glenwood Drive
Suite 467
Chattanooga, TN 37404

Mailing address

721 Glenwood Drive
Suite 467
Chattanooga, TN 37404
Phone (423) 698-3423

Other identifiers 2

IdentifierTypeStateIssuer
3000643MedicaidTN
036992000MedicaidMN

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
I20070925000283 TN Practitioner - Neurology 9739182866 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Mercer University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sleep Centers of Middle Tennessee LLCGroup PAC ID 2466412457, 14 clinicians

Practice addresses (Care Compare)

1508 Carl Adams Dr
Suite 200
Murfreesboro, TN 37129-4375
Phone 6158934896178

Merit-based Incentive Payment System (MIPS)

Final score
90.16 of 100Reported as group
Quality
91.08
Promoting interoperability
98
Improvement activities
40
Cost
77.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49063MNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Centers of Middle Tennessee LLC CurrentSince Nov 15, 2018 Accepting new patients

Locations

3326 Aspen Grove Dr
Ste 260
Franklin, TN 37067
Phone (615) 790-9401

1508 Carl Adams Dr
Murfreesboro, TN 37129
Phone (629) 239-4687

1508 Carl Adams Dr
Ste 200
Murfreesboro, TN 37129
Phone (615) 893-4896

1725 Medical Center Pkwy
Ste 220
Murfreesboro, TN 37129
Phone (615) 217-0259

2222 State St
Ste D
Nashville, TN 37203
Phone (615) 893-4896

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBDAA

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1528085412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DRIVE",
            "address_2": "SUITE 467",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-698-3423",
            "fax_number": "423-698-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DRIVE",
            "address_2": "SUITE 467",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-698-3423",
            "fax_number": "423-698-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLENT",
        "first_name": "PHILLIP",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "102492",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "49063",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TN",
            "license": "42309",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "GA",
            "license": "057255",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "42309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000643",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036992000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.