Individual provider Active NPI

Michael Frederick Osborne, M.D.

  • Psychiatry Physician
  • Chattanooga, TN
National Provider Identifier
1720172687
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD0000041913 Issued in TN
Practice address
2200 Morris Hill Rd
Chattanooga, TN 37421-2818
Phone
(423) 499-1204
Fax
(423) 499-2320
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00046130 WA
Psychiatry Physician 2084P0800X MD0000041913 TN Primary
Psychiatry Physician 2084P0800X 054643 GA

Addresses

Primary practice location

2200 Morris Hill Rd
Chattanooga, TN 37421-2818

Mailing address

2200 Morris Hill Rd
Chattanooga, TN 37421-2818
Phone (423) 499-1204

Other identifiers 1

IdentifierTypeStateIssuer
7128648MedicaidWA

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 Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000041913TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SWS Psychotherapy PLLC PastSince Mar 27, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.osborne.p1@direct.chota.nextgenshare.com

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1720172687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MORRIS HILL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212818",
            "telephone_number": "423-499-1204",
            "fax_number": "423-499-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MORRIS HILL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212818",
            "telephone_number": "423-499-1204",
            "fax_number": "423-499-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MICHAEL",
        "middle_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00046130",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000041913",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "054643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128648",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.