Fearfully and Wonderfully Made OBGYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

FEARFULLY AND WONDERFULLY MADE OBGYN PLLC

Practice address

4012 West Ave
Chattanooga, TN 37410-1594

Phone

(423) 498-2300

Fax

(423) 498-2301

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Mary Anna Sanders, DO, FACOG

Title

Owner

Phone

(423) 498-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra B. Keith, NP

  • Nurse Practitioner
  • Flintstone, GA
  • NPI 1922321975

  TN

  Medicare reassignment Care Compare group NPD
• Mary Anna Sanders, DO

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
  • NPI 1588984371
  Medicare reassignment Care Compare group
• Jenna Brooke Cate

  • Family Nurse Practitioner
  • Dunlap, TN
  • NPI 1013495951
  Medicare reassignment NPD
• Lindsey Haynes

  • Women's Health Nurse Practitioner
  • Chattanooga, TN
  • NPI 1922410620
  Medicare reassignment NPD
• Annamaria Fish, PA-C

  • Physician Assistant
  • Chattanooga, TN
  • NPI 1669845616
  Medicare reassignment

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1619498672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2217",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374090217",
            "telephone_number": "423-498-2300",
            "fax_number": "423-498-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 WEST AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374101594",
            "telephone_number": "423-498-2300",
            "fax_number": "423-498-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEARFULLY AND WONDERFULLY MADE OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-498-2300",
        "authorized_official_credential": "DO, FACOG"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret John Faugot, PA-C
• Anna Grace Faulds
• Sarah Michelle Faulkner, FNP-C
• Lauren Elizabeth Favors, MD
• Blake Feagans, M.A., LPC-MHSP
• Justice Catera Fearn, CCMA
• Ashley Lauren Fedusenko
• James Fedusenko, D.D.S.
• John Fee, DC
• Sarah Rebekah Feely

• Obstetrics & Gynecology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.