Organization Active NPI

Scenic City Wellness

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1700443470
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SCENIC CITY WELLNESS
Practice address
105 Lee Parkway Dr Ste a
Chattanooga, TN 37421-6708
Phone
(423) 643-8000
Fax
(423) 643-8100
NPI assigned
May 28, 2019
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Michalle Morris, NPNPI 1013268341
Title
Nurse Practitioner
Phone
(423) 255-4506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

105 Lee Parkway Dr Ste a
Chattanooga, TN 37421-6708

Mailing address

PO Box 25164
Chattanooga, TN 37422-5164
Phone (423) 643-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191106002939 TN Part B Supplier - Clinic/Group Practice 2567894850 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2169154Scenic City Wellness105 Lee Parkway Drive Suite a, Chattanooga, TN 37421Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19840/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1700443470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25164",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374225164",
            "telephone_number": "423-643-8000",
            "fax_number": "423-643-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LEE PARKWAY DR STE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216708",
            "telephone_number": "423-643-8000",
            "fax_number": "423-643-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC CITY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MICHALLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "423-255-4506",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "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 May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.