Individual provider Active NPI

Kathleen Jude Locker, MD

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1578698270
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19614 Issued in MS
Practice address
2700 Parkwood Avenue
Chattanooga, TN 37404
Phone
(423) 624-1533
Fax
(662) 568-3360
NPI assigned
Feb 22, 2007
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19614 MS Primary

Addresses

Primary practice location

2700 Parkwood Avenue
Chattanooga, TN 37404

Mailing address

2717 East Oakland Avenue
Johnson City, TN 37601-1843
Phone (423) 926-2358

Other identifiers 1

IdentifierTypeStateIssuer
05923271MedicaidMS

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120123000063 TN Practitioner - Family Practice 4082696968 Reassigns benefits to 3 organizations
I20220926001241 GA Practitioner - Family Practice 4082696968 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Services, PLLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Renuven Aco PLLC CurrentSince Jul 17, 2025 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince May 6, 2023 Accepting new patients
Renuven Health Partners of Georgia PC CurrentSince Sep 15, 2022 Accepting new patients
Integrated Health Transitions, PLLC Family Medicine CurrentSince Sep 15, 2022 Accepting new patients
NHC Healthcare-Chattanooga LLC Past Accepting new patients
North Ms Emergency Physicians Past Accepting new patients

Locations

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

2403 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (423) 979-5805

1425 McFarland Ave
Rossville, GA 30741
Phone (423) 987-3702

1204 Frye St
Athens, TN 37303
Phone (423) 745-0434

2030 Hamilton Place Blvd
Ste 220
Chattanooga, TN 37421
Phone (423) 553-1823

2700 Parkwood Ave
Chattanooga, TN 37404
Phone (423) 242-7123

4413 Oakwood Dr
Chattanooga, TN 37416
Phone (423) 553-1823

101 Walnut Ln
Columbia, TN 38401
Phone (931) 381-3112

815 S Walnut Ave
Cookeville, TN 38501
Phone (931) 528-5516

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

2300 Pavilion Dr
Kingsport, TN 37660
Phone (423) 765-9655

2120 Highland Ave
Knoxville, TN 37916
Phone (865) 386-6392

3916 Boyds Bridge Pike
Knoxville, TN 37914
Phone (865) 523-1500

300 Laboratory Rd
Oak Ridge, TN 37830
Phone (865) 482-7698

500 Faulconer Dr
Ste 200
Charlottesville, VA 22903
Phone (434) 977-9711

Interoperability endpoints

  • Direct secure messaging: klocker17099@direct.erlanger.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1578698270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EAST OAKLAND AVENUE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PARKWOOD AVENUE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-624-1533",
            "fax_number": "662-568-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKER",
        "first_name": "KATHLEEN",
        "middle_name": "JUDE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05923271",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.