Starry Medical PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STARRY MEDICAL PLLC

Practice address

6221 Shallowford Rd Ste 100
Chattanooga, TN 37421-1972

Phone

(423) 648-2053

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Coleen Carberryr

Title

Manager

Phone

(423) 362-4142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1639788128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972",
            "telephone_number": "423-648-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972",
            "telephone_number": "423-648-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARRY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "CARBERRYR",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-362-4142"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.