Tennessee Valley Urology Center PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

TENNESSEE VALLEY UROLOGY CENTER PC

Practice address

400 Berywood TRL NW
Ste B
Cleveland, TN 37312-5288

Phone

(423) 472-3201

Fax

(423) 476-4949

NPI assigned

Jul 28, 2006

Last updated

Nov 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward M McIntire Jr., M.D.NPI 1184689788

Title

President

Phone

(423) 472-3201

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: christopherthacker@tnvalleyuro.medalliesdirect.net
• Direct secure messaging: danielbox@tnvalleyuro.medalliesdirect.net
• Direct secure messaging: edwardmcintire@tnvalleyuro.medalliesdirect.net
• Direct secure messaging: josephivey@tnvalleyuro.medalliesdirect.net

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward M McIntire Jr., M.D.

  • Urology Physician
  • Cleveland, TN
  • NPI 1184689788
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Alexander Ivey III

  • Urology Physician
  • Cleveland, TN
  • NPI 1376079269
  Medicare reassignment Care Compare group NPD
• Amanda Suzanne Linden, FNP-C

  • Primary Care Nurse Practitioner
  • Cleveland, TN
  • NPI 1538544028
  Medicare reassignment Care Compare group NPD
• Christopher C Thacker, M.D.

  • Urology Physician
  • Cleveland, TN
  • NPI 1881658664
  Medicare reassignment Care Compare group NPD
• Daniel Box

  • Urology Physician
  • Cleveland, TN
  • NPI 1083970198
  Medicare reassignment Care Compare group
• Angela D Ogle, NP

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1306910351
  Medicare reassignment Care Compare group
• Stephen W Jackson, M.D.

  • Urology Physician
  • Cleveland, TN
  • NPI 1386609808
  Medicare reassignment NPD
• Kristin R Logsdon, APN, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1538526348
  Medicare reassignment NPD
• Xiao C Mu, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1962466565
  Medicare reassignment NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1538173232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BERYWOOD TRL NW",
            "address_2": "STE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125288",
            "telephone_number": "423-472-3201",
            "fax_number": "423-476-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BERYWOOD TRL NW",
            "address_2": "STE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125288",
            "telephone_number": "423-472-3201",
            "fax_number": "423-476-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY UROLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "MCINTIRE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-472-3201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Tennessee Valley Foot and Ankle Center
• Tracy Vincent Terpstra, LPC
• Baylor Terrell, DDS
• Robin G. Terrero, DPH
• Terry F. Stulce (Cleveland Family Counseling)
• Reba A Terry, LCSW

• Urology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.