Organization Active NPI

The Plastic Surgery Group, P.C.

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
National Provider Identifier
1659333029
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE PLASTIC SURGERY GROUP, P.C.
Practice address
901 Riverfront Parkway
Ste 100
Chattanooga, TN 37402-2102
Phone
(423) 756-7134
Fax
(423) 763-4571
NPI assigned
Apr 3, 2006
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Dr. D Marshall Jemison, MD
Title
President
Phone
(423) 756-7134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

901 Riverfront Parkway
Ste 100
Chattanooga, TN 37402-2102

Mailing address

901 Riverfront Parkway
Ste 100
Chattanooga, TN 37402-2102
Phone (423) 756-7134

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1659333029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIVERFRONT PARKWAY",
            "address_2": "STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022102",
            "telephone_number": "423-756-7134",
            "fax_number": "423-763-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIVERFRONT PARKWAY",
            "address_2": "STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022102",
            "telephone_number": "423-756-7134",
            "fax_number": "423-763-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "JEMISON",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-756-7134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 2019; 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.