Active NPI
Glenn Noel Pomerance, M.D.
- Specialist
- Chattanooga, TN
National Provider Identifier
1609868017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000015600
- Practice address
- 1801 Gunbarrel Rd
Chattanooga, TN 37421-3130 - Phone
- (423) 858-6800
- Fax
- (423) 855-1108
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000015600 | TN | Primary |
Addresses
Primary practice location
1801 Gunbarrel Rd
Chattanooga, TN 37421-3130
Mailing address
1801 Gunbarrel Rd
Chattanooga, TN 37421-3130
Phone (423) 858-6800
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0393990001 | Other | TN | DMERC GROUP NUMBER |
| TN0101 | Other | TN | JOHN DEERE PROVIDER NUMBE |
| 3709593 | Other | TN | MEDICARE GROUP NUMBER |
| 3709593 | Medicaid | TN | |
| 4139738 | Other | TN | AETNA PROVIDER NUMBER |
| 3008472 | Other | TN | MEDICARE |
| 36857 | Other | TN | BLUE CROSS PROVIDER NUMBE |
| 0452389 | Other | TN | CIGNA PROVIDER NUMBER |
| 180029735 | Other | TN | RAILRAOD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000015600 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomerance Eye Center, PC | Specialist | Current | Accepting new patients |
| Renaissance Surgery Center of Chattanooga, LLC | Current | Accepting new patients | |
| Pomerance Eye Center, PC | Specialist | Current | Accepting new patients |
Locations
1801 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 855-6800
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 and National Provider Directory roles.
-
- Specialist
- Chattanooga, TN
- NPI 1700929643
-
- Specialist
- Chattanooga, TN
- NPI 1174534200
-
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
- NPI 1841589116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1609868017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 GUNBARREL RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213130",
"telephone_number": "423-858-6800",
"fax_number": "423-855-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 GUNBARREL RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213130",
"telephone_number": "423-858-6800",
"fax_number": "423-855-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANCE",
"first_name": "GLENN",
"middle_name": "NOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000015600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC GROUP NUMBER",
"identifier": "0393990001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE PROVIDER NUMBE",
"identifier": "TN0101",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "3709593",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3709593",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4139738",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "3008472",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "36857",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "0452389",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "180029735",
"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 Jan 25, 2016; 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.