NPIMap

Organization Active NPI

Jack M Rowland, MD, LLC

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1609095108
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000034464 Issued in NU
Legal business name
JACK M ROWLAND, MD, LLC
Practice address
1511 Gunbarrel Rd Ste 111
Chattanooga, TN 37421-3897
Phone
(423) 553-5999
Fax
(423) 602-7456
NPI assigned
Apr 24, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jack M Rowland, MDNPI 1417970054
Title
Owner
Phone
(423) 648-6020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD0000034464 TN
Obstetrics & Gynecology Physician 207V00000X MD0000034464 NU Primary

Addresses

Primary practice location

1511 Gunbarrel Rd Ste 111
Chattanooga, TN 37421-3897

Mailing address

1511 Gunbarrel Rd Ste 111
Chattanooga, TN 37421-3897
Phone (423) 553-5999

Other identifiers 2

IdentifierTypeStateIssuer
10810702OtherTNCAQH
3736351MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070505000042 TN Part B Supplier - Clinic/Group Practice 9537265764 Receives reassigned benefits from 10 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

1032 McCallie Ave
Ste 310
Chattanooga, TN 37403
Phone (423) 266-6116

7490 Ziegler Rd
Chattanooga, TN 37421
Phone (423) 648-6020

1101 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 553-5999

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609095108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 GUNBARREL RD STE 111",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213897",
            "telephone_number": "423-553-5999",
            "fax_number": "423-602-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 GUNBARREL RD STE 111",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213897",
            "telephone_number": "423-553-5999",
            "fax_number": "423-602-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M ROWLAND, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-648-6020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000034464",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": "MD0000034464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10810702",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3736351",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.