Individual provider Active NPI

Emily Forsythe, FNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1700583473
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33360 Issued in TN
Practice address
6145 Shallowford Rd Ste 102
Chattanooga, TN 37421-7808
Phone
(423) 893-6890
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33360 TN Primary

Addresses

Primary practice location

6145 Shallowford Rd Ste 102
Chattanooga, TN 37421-7808

Mailing address

6145 Shallowford Rd Ste 102
Chattanooga, TN 37421-7808

Other practice location 1

3770 Ocoee Pl NW Ste 100
Cleveland, TN 37312-6015
Phone (423) 250-5551

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530001786 TN Practitioner - Nurse Practitioner 8921465303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Wellness Medical LLCGroup PAC ID 8729481262, 4 clinicians
Southern Life Healthcare PLLCGroup PAC ID 3870965593, 2 clinicians

Practice addresses (Care Compare)

6102 Shallowford Rd
Suite 103
Chattanooga, TN 37421-1684
Phone (423) 661-3428

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33360TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True Wellness Medical LLC. CurrentSince May 1, 2024 Accepting new patients
Southern Life Healthcare PLLC CurrentSince Jun 5, 2024 Accepting new patients
Scenic City Rheumatology PLLC PastSince Feb 19, 2023 Accepting new patients

Locations

6102 Shallowford Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 475-6438

6102 Shallowford Rd
Ste 104
Chattanooga, TN 37421
Phone (423) 206-9214

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1700583473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 SHALLOWFORD RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 SHALLOWFORD RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217808",
            "telephone_number": "423-893-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3770 Ocoee Pl NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373126015",
            "country_code": "US",
            "telephone_number": "423-250-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "EMILY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.