Organization Active NPI

Carestar Medical Partners LLC

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1659182467
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, MDNPI 1962415299
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904002880 TN Part B Supplier - Clinic/Group Practice 9133621634 Receives reassigned benefits from 2 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

1720 Gunbarrel Rd
Ste 300
Chattanooga, TN 37421
Phone (423) 505-0616

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
Q110616MedicaidTN

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.

Verify at the official NPI Registry.