The Chattanooga Spine and Wellness Institute, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC

Doing business as

Southeast Center for Bone and Joint

Practice address

1745 Phoenix Blvd Ste 335
Atlanta, GA 30349-5569

Phone

(423) 296-2604

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INCAs reported in NPPES

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

Authorized official

Name

Elise Sheffield Sims, MD

Title

Owner

Phone

(423) 296-2604

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southeast Center for Bone and Joint Doing business as

Electronic endpoints 1

Part of

The Dalton Clinic of Chiropractic Inc

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1649860354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 PHOENIX BLVD STE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495569",
            "telephone_number": "423-296-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 PHOENIX BLVD STE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495569",
            "telephone_number": "423-296-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "SHEFFIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-296-2604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3957",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "practiceehr",
            "affiliation": "N",
            "address_1": "1745 Phoenix Blvd Ste 335",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303495569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southeast Center for Bone and Joint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.