NPIMap

Organization Active NPI

OB-GYN Centre of Excellence PC

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1699796169
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB-GYN CENTRE OF EXCELLENCE PC
Practice address
2341 McCallie Ave Ste 302
Parkridge Plaza III
Chattanooga, TN 37404-3237
Phone
(423) 629-9743
Fax
(423) 629-9744
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mrs. Misty A Hickman
Title
Practice Administrator
Phone
(423) 629-9743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2341 McCallie Ave Ste 302
Parkridge Plaza III
Chattanooga, TN 37404-3237

Mailing address

2341 McCallie Ave, Suite 302
Parkridge Plaza III
Chattanooga, TN 37404-3237
Phone (423) 629-9743

National Provider Directory

National Provider Directory

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1699796169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE, SUITE 302",
            "address_2": "PARKRIDGE PLAZA III",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043237",
            "telephone_number": "423-629-9743",
            "fax_number": "423-629-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE STE 302",
            "address_2": "PARKRIDGE PLAZA III",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043237",
            "telephone_number": "423-629-9743",
            "fax_number": "423-629-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN CENTRE OF EXCELLENCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "423-629-9743",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "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 Sep 10, 2010; 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.