Organization Active NPI

Chattanooga Neurology Associates PLLC

  • Neurology Physician
  • Chattanooga, TN
National Provider Identifier
1639693609
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CHATTANOOGA NEUROLOGY ASSOCIATES PLLC
Practice address
721 Glenwood Dr Ste 467
Chattanooga, TN 37404-1154
Phone
(423) 698-3423
Fax
(423) 698-1380
NPI assigned
Aug 1, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carol Doucette
Title
Office Manager
Phone
(423) 698-3423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

721 Glenwood Dr Ste 467
Chattanooga, TN 37404-1154

Mailing address

721 Glenwood Dr Ste 467
Chattanooga, TN 37404-1154
Phone (423) 698-3423

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639693609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR STE 467",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041154",
            "telephone_number": "423-698-3423",
            "fax_number": "423-698-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR STE 467",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041154",
            "telephone_number": "423-698-3423",
            "fax_number": "423-698-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA NEUROLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-698-3423"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.