Individual provider Active NPI

Cynthia Witt, NP-C

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1588904221
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17395 Issued in TN
Practice address
1726 Gunbarrel Rd Ste 200
Chattanooga, TN 37421-4754
Phone
(423) 899-6511
Fax
(423) 899-6511
NPI assigned
Feb 17, 2013
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17395 TN Primary
Family Nurse Practitioner 363LF0000X 165405 GA

Addresses

Primary practice location

1726 Gunbarrel Rd Ste 200
Chattanooga, TN 37421-4754

Mailing address

1800 Northside Forsyth Dr
Suite 380
Cumming, GA 30041-8416
Phone (770) 292-2670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150429000647 GA Practitioner - Nurse Practitioner 9335385632 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17395TNMDNurse Practitioner
165405GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Rhythm Specialists CurrentSince Sep 19, 2022 Accepting new patients
Galen Medical Group, PC Family CurrentSince Sep 20, 2022 Accepting new patients
Robert S. Furr, MD PLLC PastSince Nov 1, 2020 Accepting new patients
Memorial Health Partners Foundation, Inc Past Accepting new patients

Locations

1600 Broadrick Dr
Dalton, GA 30720
Phone (706) 529-9301

1726 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 899-6511

Interoperability endpoints

  • Direct secure messaging: cwitt19654@hhcs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHGAA

Organizations & group practices 4

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": "1361059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1588904221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NORTHSIDE FORSYTH DR",
            "address_2": "SUITE 380",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418416",
            "telephone_number": "770-292-2670",
            "fax_number": "770-292-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 GUNBARREL RD STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214754",
            "telephone_number": "423-899-6511",
            "fax_number": "423-899-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "CYNTHIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-17",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17395",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "165405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.