Individual provider Active NPI

James Terrell Nunally Jr., MD

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1598749566
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17741 Issued in TN
Practice address
251 N Lyerly St Ste 300
Chattanooga, TN 37404-2743
Phone
(423) 648-7720
Fax
(423) 648-7772
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17741 TN Primary

Addresses

Primary practice location

251 N Lyerly St Ste 300
Chattanooga, TN 37404-2743

Mailing address

251 N Lyerly St Ste 300
Chattanooga, TN 37404-2743
Phone (423) 648-7770

Other identifiers 1

IdentifierTypeStateIssuer
3054184MedicaidTN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040707001060 TN Practitioner - Obstetrics/Gynecology 4981681970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Hamilton County Hospital AuthorityGroup PAC ID 0547179731, 159 clinicians

Practice addresses (Care Compare)

3800 Tennessee Ave
Suite 124
Chattanooga, TN 37409-1270
Phone (423) 778-2700

975 E 3Rd St
Chattanooga, TN 37403-2147

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 2, 2017 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 2, 2017 Accepting new patients
Chattanooga Hamilton County Hospital Authority Obstetrics & Gynecology Current Accepting new patients
Chattanooga Hamilton County Hospital Authority Current Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Ut Physicians Inc Past Accepting new patients
Erlanger Health Past Accepting new patients

Locations

251 N Lyerly St
Ste 300
Chattanooga, TN 37404
Phone (423) 648-7770

1200 Dodson Ave
Chattanooga, TN 37406
Phone (423) 778-2800

100 E 37th St
Chattanooga, TN 37410
Phone (423) 778-2700

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

960 E 3rd St
Ste 208
Chattanooga, TN 37403
Phone (423) 778-2550

979 E 3rd St
Ste 1001
Chattanooga, TN 37403
Phone (615) 267-2392

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1598749566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-648-7770",
            "fax_number": "423-648-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-648-7720",
            "fax_number": "423-648-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNALLY",
        "first_name": "JAMES",
        "middle_name": "TERRELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "17741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3054184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.