Active NPI
Carestar Medical Partners LLC
- Internal Medicine Physician
- Chattanooga, TN
National Provider Identifier
1659182467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CARESTAR MEDICAL PARTNERS LLC
- Practice address
- 1720 Gunbarrel Rd Ste 300
Chattanooga, TN 37421-3192 - Phone
- (423) 505-0616
- NPI assigned
- Jan 20, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Philip A Bannor, MD
- Title
- Medical Director
- Phone
- (423) 505-0616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1962415299
Internal Medicine, TN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250904002880 | TN | Part B Supplier - Clinic/Group Practice | 9133621634 |
Receives reassigned benefits from 2 practitioners Practice locations: Chattanooga, TN |
National Provider Directory
National Provider DirectoryLocations
1720 Gunbarrel Rd
Ste 300
Chattanooga, TN 37421
Phone (423) 505-0616
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1720 Gunbarrel Rd Ste 300
Chattanooga, TN 37421-3192
Mailing address
710 Lantana Dr
Smyrna, TN 37167-5875
Phone (423) 505-0616
Other practice location 1
7011 Shallowford Rd Ste 106
Chattanooga, TN 37421-6727
Phone (423) 314-9107
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q110616 | Medicaid | TN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2026.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1659182467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LANTANA DR",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675875",
"telephone_number": "423-505-0616",
"fax_number": "423-497-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 GUNBARREL RD STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213192",
"telephone_number": "423-505-0616"
}
],
"practiceLocations": [
{
"address_1": "7011 Shallowford Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374216727",
"country_code": "US",
"telephone_number": "423-314-9107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARESTAR MEDICAL PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-20",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "BANNOR",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "423-505-0616",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q110616",
"state": "TN"
}
],
"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 May 21, 2026; 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.