Active NPI
Teena Brewer Carr, N.P.
- Adult Health Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5572
- Practice address
- 2108E 3Rd St 100
Chattanooga, TN 37404-2623 - Phone
- (423) 267-0466
- NPI assigned
- Sep 7, 2005
- Last updated
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5572 | TN | Primary |
Addresses
Primary practice location
2108E 3Rd St 100
Chattanooga, TN 37404-2623
Mailing address
979 E 3Rd St
Ste 300
Chattanooga, TN 37403-2136
Phone (423) 267-0466
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257759732A | Other | GA | GA MEDICAID |
| TN0179 | Other | JOHN DEERE | |
| 500029420 | Other | RR MEDICARE | |
| Q002600 | Medicaid | TN | |
| 4057881 | Other | BCBS OF TN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
979 E 3Rd St
Suite 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5572 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical Associates, PLLC | Current | Accepting new patients | |
| University Surgical Associates PC | Past | Accepting new patients | |
| University Surgical Associates, LLC | Past | Accepting new patients |
Locations
2108 E 3rd St
Ste 100
Chattanooga, TN 37404
Phone (423) 493-2395
2108 E 3rd St
Ste 200
Chattanooga, TN 37404
979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792
2253 Chambliss Ave NW
Ste 401
Cleveland, TN 37311
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71772
- teena.brewer-carr.1@33371.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Surgery Physician
- Chattanooga, TN
- NPI 1972520963
-
- Surgery Physician
- Chattanooga, TN
- NPI 1437102704
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1609860667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "979 E 3RD ST",
"address_2": "STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-267-0466",
"fax_number": "423-757-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108E 3RD ST 100",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042623",
"telephone_number": "423-267-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER CARR",
"first_name": "TEENA",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "5572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA MEDICAID",
"identifier": "257759732A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN0179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500029420",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q002600",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4057881",
"state": null
}
],
"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 Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.