Individual provider Active NPI

Christopher S St. Charles, M.D.

  • Otolaryngology Physician
  • Signal Mountain, TN
National Provider Identifier
1669416855
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD23591 Issued in TN
Practice address
106 Signal Point TRL
Signal Mountain, TN 37377-1839
Phone
(000) 000-0000
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD23591 TN Primary

Addresses

Primary practice location

106 Signal Point TRL
Signal Mountain, TN 37377-1839

Mailing address

106 Signal Point TRL
Signal Mountain, TN 37377-1839

Other identifiers 1

IdentifierTypeStateIssuer
3067680MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000439 TN Practitioner - Otolaryngology 7618911041 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD23591TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jan 1, 2020 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jan 1, 2020 Accepting new patients

Locations

910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1669416855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SIGNAL POINT TRL",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373771839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SIGNAL POINT TRL",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373771839",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CHARLES",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD23591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067680",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Mountain, TN

Sources for this page

Verify at the official NPI Registry.