Individual provider Active NPI

Teri Shannan Hayes, APN, NP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1528290137
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14338 Issued in TN
Practice address
6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone
(423) 899-0431
Fax
(423) 499-9552
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14338 TN Primary

Addresses

Primary practice location

6734 Lee Hwy
Chattanooga, TN 37421-2423

Mailing address

6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 899-0431

Other practice location 1

1506 N Thornton Ave Ste C
Dalton, GA 30720-8515
Phone (423) 899-0431

Other practice location 2

4630 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (423) 899-0431

Other practice location 3

3760 Ocoee Pl NW Ste 100
Cleveland, TN 37312-5637
Phone (423) 899-0431

Other practice location 4

163 Walnut Grove Church Rd
Dayton, TN 37321-6104
Phone (423) 899-0431

Other practice location 5

325 Market St
Chattanooga, TN 37402-1226
Phone (423) 899-0431

Other practice location 6

24 Mountain View Dr
Kimball, TN 37347-5477
Phone (423) 899-0431

Other practice location 7

1005 Executive Dr Ste 101
Hixson, TN 37343-7904
Phone (423) 899-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100113000097 TN Practitioner - Nurse Practitioner 1850432808 Reassigns benefits to 1 organization
I20220510000813 GA Practitioner - Nurse Practitioner 1850432808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Allergy Clinic , PLLCGroup PAC ID 6507879962, 19 clinicians

Practice addresses (Care Compare)

1005 Executive Dr
Suite 101
Hixson, TN 37343-7904
Phone (423) 899-0431

325 Market St
Suite 100
Chattanooga, TN 37402-1226
Phone (423) 899-0431

3760 Ocoee PL NW
Suite 100
Cleveland, TN 37312-5637
Phone (423) 899-0431

4630 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (423) 899-0431

6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 899-0431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14338TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Allergy Clinic , PLLC CurrentSince Jun 1, 2015 Accepting new patients
Tennessee Kidney Care PLLC PastSince Sep 1, 2017 Accepting new patients

Locations

1506 N Thornton Ave
Ste C
Dalton, GA 30720
Phone (706) 277-4646

4630 Battlefield Pkwy
Ringgold, GA 30736

6624 Lee Hwy
Chattanooga, TN 37421
Phone (423) 648-8008

325 Market St
Ste 100
Chattanooga, TN 37402
Phone (423) 899-0341

6734 Lee Hwy
Chattanooga, TN 37421
Phone 42389904311501

3760 Ocoee Pl NW
Ste 100
Cleveland, TN 37312

163 Walnut Grove Church Rd
Ste 101
Dayton, TN 37321

163 Walnut Grove Church Rd
Dayton, TN 37321
Phone (423) 775-6668

1005 Executive Dr
Ste 101
Hixson, TN 37343

24 Mountain View Dr
Kimball, TN 37347
Phone (423) 942-6022

5243 Little Debbie Pkwy
Ste 119
Ooltewah, TN 37363
Phone (423) 238-2036

Organizations & group practices 2

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1528290137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6734 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 N Thornton Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307208515",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4630 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307368004",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3760 Ocoee Pl NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373125637",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "163 Walnut Grove Church Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373216104",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Market St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374021226",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Kimball",
            "state": "TN",
            "postal_code": "373475477",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Executive Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373437904",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "TERI",
        "middle_name": "SHANNAN",
        "name_prefix": "Mrs.",
        "credential": "APN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.