John Brendle Standridge II, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

9010 Issued in TN

Practice address

207 Spears Ave
Chattanooga, TN 37405

Phone

(423) 531-4265

Fax

(423) 531-4267

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal Medicine LLC

  • Addiction Medicine (Family Medicine) Physician
  • Chattanooga, TN
  • NPI 1780975540
  Authorized official Same address or phone

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1568494284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 BUCK TRAIL DR",
            "city": "HARRISON",
            "state": "TN",
            "postal_code": "373414912",
            "telephone_number": "423-531-4265",
            "fax_number": "423-531-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPEARS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37405",
            "telephone_number": "423-531-4265",
            "fax_number": "423-531-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDRIDGE",
        "first_name": "JOHN",
        "middle_name": "BRENDLE",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "9010",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "9010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3157266",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Marie Stanage, OTR/L
• Cynthia Ann Stanaway, PTA
• Jacob Standefer, PHARMD
• Max Brady Standefer, DPH
• Standifer Gap Rd Healthcare LLC (Chattanooga Health and Rehab Center)
• James Stanfield, M.D.
• Jennifer D. Stanfield, P.A.
• Luther Gene Stanfield, D.O.
• Grace Powell Stanford, OTR/L
• Julianna Stanford, DMD

• Addiction Medicine (Family Medicine) Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Addiction Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.