Individual provider Active NPI

Teena Brewer Carr, N.P.

  • Adult Health Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1609860667
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5572 Issued in TN
Practice address
2108E 3Rd St 100
Chattanooga, TN 37404-2623
Phone
(423) 267-0466
NPI assigned
Sep 7, 2005
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
257759732AOtherGAGA MEDICAID
TN0179OtherJOHN DEERE
500029420OtherRR MEDICARE
Q002600MedicaidTN
4057881OtherBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070419000614 TN Practitioner - Nurse Practitioner 9638274624 Reassigns benefits to 1 organization

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 100Reported as apm
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

LicenseStateTypeSpecialty
5572TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical Associates, PLLC CurrentSince Mar 4, 2003 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71772
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.