Circle of Life Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CIRCLE OF LIFE FAMILY MEDICINE, PLLC

Practice address

4841 Hixson Pike
Suite a
Hixson, TN 37343-4431

Phone

(423) 305-7980

Fax

(423) 305-7981

NPI assigned

Sep 18, 2009

Last updated

Oct 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew C. Tinney, DONPI 1225031537

Title

Owner

Phone

(423) 305-7980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Ashley Hennessey, MSN, NP-C

  • Family Medicine Physician
  • Hixson, TN
  • NPI 1790206746
  Medicare reassignment Care Compare group NPD
• Marchel D Tinney, APN

  • Family Nurse Practitioner
  • Hixson, TN
  • NPI 1831385376
  Medicare reassignment Care Compare group NPD
• Matthew C. Tinney, DO

  • Family Medicine Physician
  • Hixson, TN
  • NPI 1225031537
  Authorized official Same address or phone
• Terry W Smith, MD

  • Family Medicine Physician
  • Chattanooga, TN
  • NPI 1033105689
  NPD (past)

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1629301957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 HIXSON PIKE",
            "address_2": "SUITE A",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434431",
            "telephone_number": "423-305-7980",
            "fax_number": "423-305-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 HIXSON PIKE",
            "address_2": "SUITE A",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434431",
            "telephone_number": "423-305-7980",
            "fax_number": "423-305-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "TINNEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-305-7980",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chattanooga SH Operations LLC (Regency House)
• Chattanooga Spine and Body, Inc
• Chew Chew Dentistry
• Christopher Choe, MD
• Christopher Segler (Ankle & Foot Center of Chattanooga)
• Clayton B Rhodes (Hixson EyeCare)
• Claire Clemmons
• Elizabeth Denby Close, M.D.
• Sabrina Cochran, M.ED.
• Roger Coffman, MD

• Family Medicine Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.