NPIMap

Organization Active NPI

Chota Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Madisonville, TN
National Provider Identifier
1548427586
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHOTA COMMUNITY HEALTH SERVICES
Practice address
4798 New Highway 68
Madisonville, TN 37354
Phone
(423) 442-2622
Fax
(423) 442-5760
NPI assigned
May 19, 2008
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Mrs. Laura D Harris
Title
Ceo
Phone
(423) 442-7268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X TN Primary

Addresses

Primary practice location

4798 New Highway 68
Madisonville, TN 37354

Mailing address

P.O. Box 278
Madisonville, TN 37354
Phone (423) 442-2622

Other identifiers 2

IdentifierTypeStateIssuer
1507934MedicaidTN
0441922MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040527001293 TN Part B Supplier - Clinic/Group Practice 9436130135 Receives reassigned benefits from 18 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madisonville, TN; Vonore, TN; Tellico Plains, TN; Sweetwater, TN
O20080925000372 TN Part A Provider - Federally Qualified Health Center (FQHC) 9436130135 Practice locations: Madisonville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548427586. Details of each certification follow.

Federally qualified health center certification: CCN 441922

Legal name
CHOTA COMMUNITY HEALTH SERVICES
Organization structure
CorporationNon-profit
Incorporated
Apr 7, 2003 in TN
Enrollment address
4798 New Highway 68
Madisonville, TN 37354-1287

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Chota Community Health SE16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vanessa Barr Individual Corporate OfficerBoard Member Jun 30, 2014
Wallace Drake Individual Corporate OfficerBoard Member Sep 23, 2019
Bobbie Arp Individual Corporate OfficerBoard Member Feb 28, 2022
Melvin M Tallent Individual Corporate OfficerBoard Member Jun 30, 2003
Mia Sage Beason Individual Corporate OfficerBoard Member Apr 28, 2014
Melissa Gray Individual Corporate OfficerCfo Apr 15, 1998 100%
Augusta T Davis Individual Corporate OfficerBoard Member Aug 26, 2013
Kressa Mason Individual Corporate OfficerBoard Member Jun 22, 2020
William O'Donnell Individual Corporate OfficerBoard Member Nov 22, 2004
Robert Marshall Individual Corporate OfficerBoard Member Jul 26, 2021
Laura Harris Individual Operational/Managerial ControlCeo Apr 11, 2013 100%
Joleta Jones Individual Corporate OfficerBoard Member Oct 22, 2018
Bruce Christopher Individual Corporate OfficerBoard Member Nov 23, 2009

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1548427586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 278",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "37354",
            "telephone_number": "423-442-2622",
            "fax_number": "423-442-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 NEW HIGHWAY 68",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "37354",
            "telephone_number": "423-442-2622",
            "fax_number": "423-442-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOTA COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-442-7268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507934",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441922",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

Verify at the official NPI Registry.