NPIMap

Organization Active NPI

Chota Community Health Services

  • Family Medicine Physician
  • Madisonville, TN
National Provider Identifier
1649540840
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHOTA COMMUNITY HEALTH SERVICES
Practice address
175 Oak Grove Road
Madisonville, TN 37354-7062
Phone
(423) 442-4154
NPI assigned
Jan 4, 2012
Organization subpart
Yes
Parent organization
CHOTA COMMUNITY HEALTH SERVICESAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mrs. Laura Harris
Title
Ceo
Phone
(423) 442-7268

Other NPIs on the same Medicare enrollment 12

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

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners 2

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040527001293 TN Part B Supplier - Clinic/Group Practice 9436130135 Receives reassigned benefits from 18 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madisonville, TN; Vonore, TN; Tellico Plains, TN; Sweetwater, TN

National Provider Directory

National Provider Directory
Tax ID family
Chota Community Health Services (16 organizations share this tax ID)
Part of
Chota Community Health Services

Locations

130 Ruritan Rd
Tellico Plains, TN 37385
Phone (423) 261-2241

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

NPPES NPI Registry

Primary practice location

175 Oak Grove Road
Madisonville, TN 37354-7062

Mailing address

PO Box 278
Madisonville, TN 37354-0278
Phone (423) 442-2622

Other names 1

NPPES NPI Registry
  • Madisonville Middle School Based Clinic Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2025.

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1649540840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373540278",
            "telephone_number": "423-442-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 OAK GROVE ROAD",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373547062",
            "telephone_number": "423-442-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOTA COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOTA COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2012-01-04",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-442-7268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madisonville Middle School Based Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.