Active NPI
Michael Frederick Osborne, M.D.
- Psychiatry Physician
- Chattanooga, TN
National Provider Identifier
1720172687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD0000041913
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7128648 | Medicaid | WA |
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 Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000041913 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SWS Psychotherapy PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Clinical Social Worker
- Chattanooga, TN
- NPI 1962948554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.