Active NPI
Shayla Monique Toombs-Withers, DO
- Family Medicine Physician
- Chattanooga, TN
National Provider Identifier
1710187406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114906906 | Medicaid | IA |
Other names 1
- Dr. Shayla Monique Toombs-Withers
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
- 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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2866 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
Interoperability endpoints
- shayla.toombs-withers.1@25522.direct.athenahealth.com
- shayla.toombs-withers@217526021193732.direct.elationemr.com
- 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.
-
- Family Medicine Physician
- Chattanooga, TN
- NPI 1447025226
-
- Family Medicine Physician
- Sandy Springs, GA
- NPI 1609700806
-
- Community/Retail Pharmacy
- Council Bluffs, IA
- NPI 1124461363
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.