NPIMap

Organization Active NPI

Womens Health Services Chattanooga PC

  • Obstetrics & Gynecology Physician
  • Ooltewah, TN
National Provider Identifier
1619983285
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS HEALTH SERVICES CHATTANOOGA PC
Practice address
6845 Mountain View Rd
Ooltewah, TN 37363-6561
Phone
(423) 910-0896
Fax
(423) 910-1828
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Mr. Matthew A Roberts, DONPI 1700878139
Title
President
Phone
(423) 910-0896

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

6845 Mountain View Rd
Ooltewah, TN 37363-6561

Mailing address

6845 Mountain View Rd
Ooltewah, TN 37363-6561
Phone (423) 910-0896

Other identifiers 1

IdentifierTypeStateIssuer
3716359MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000639 TN Part B Supplier - Clinic/Group Practice 0941283873 Receives reassigned benefits from 3 practitioners
7 other NPIs on this enrollment
Practice locations: Chattanooga, TN; Ooltewah, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6229 Vance Rd
Ste 129
Chattanooga, TN 37421

929 Spring Creek Rd
Ste 100
Chattanooga, TN 37412

935 Spring Creek Rd
Ste 100
Chattanooga, TN 37412
Phone (423) 206-2655

1751 Gunbarrel Rd
Ste 101A
Chattanooga, TN 37421
Phone (423) 296-8171

960 E 3rd St
Ste 406
Chattanooga, TN 37403

961 Spring Creek Rd
Ste 300
East Ridge, TN 37412
Phone (423) 892-5013

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1619983285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 MOUNTAIN VIEW RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636561",
            "telephone_number": "423-910-0896",
            "fax_number": "423-910-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 MOUNTAIN VIEW RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636561",
            "telephone_number": "423-910-0896",
            "fax_number": "423-910-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH SERVICES CHATTANOOGA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-910-0896",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3716359",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.