Individual provider Active NPI

Shayla Monique Toombs-Withers, DO

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1710187406
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2866 Issued in TN
Practice address
752 E. MLK Blvd.
Suite 102
Chattanooga, TN 37403
Phone
(423) 805-2245
Fax
(423) 845-9602
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4413 IA
Obesity Medicine (Family Medicine) Physician 207QB0002X 2866 TN
Family Medicine Physician 207Q00000X 2866 TN Primary

Addresses

Primary practice location

752 E. MLK Blvd.
Suite 102
Chattanooga, TN 37403

Mailing address

752 E. MLK Blvd.
Suite 102
Chattanooga, TN 37403
Phone (423) 805-2245

Other identifiers 1

IdentifierTypeStateIssuer
1114906906MedicaidIA

Other names 1

  • Dr. Shayla Monique Toombs-Withers Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2866TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essence of Health Wellness Clinic Family Medicine Current Accepting new patients
Essence of Health Wellness Clinic Family Medicine Current Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
All Care Health Center PastSince Jan 17, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shayla.toombs-withers.1@25522.direct.athenahealth.com
  • Direct secure messaging: shayla.toombs-withers@217526021193732.direct.elationemr.com
  • Direct secure messaging: shayla.toombs-withers.3@28386.direct.athenahealth.com

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1710187406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 E. MLK BLVD.",
            "address_2": "SUITE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-805-2245",
            "fax_number": "423-845-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 E. MLK BLVD.",
            "address_2": "SUITE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-805-2245",
            "fax_number": "423-845-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOMBS-WITHERS",
        "first_name": "SHAYLA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4413",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "TN",
            "license": "2866",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114906906",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYLA",
            "last_name": "TOOMBS-WITHERS",
            "middle_name": "MONIQUE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.