NPIMap

Organization Active NPI

J Walter Sledge MD PLLC

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1720179567
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24377 Issued in TN
Legal business name
J WALTER SLEDGE MD PLLC
Practice address
2339 McCallie Avenue
Plaza II Suite 204
Chattanooga, TN 37404
Phone
(423) 629-6995
Fax
(423) 629-6641
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Durie Andrews
Title
Billing Office Owner
Phone
(423) 877-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 24377 TN Primary

Addresses

Primary practice location

2339 McCallie Avenue
Plaza II Suite 204
Chattanooga, TN 37404

Mailing address

PO Box 11426
Chattanooga, TN 37401
Phone (423) 877-2312

National Provider Directory

National Provider Directory

Locations

2339 McCallie Ave
Ste 204
Chattanooga, TN 37404
Phone (423) 622-2030

11 Courthouse Sq
#A
Jasper, TN 37347
Phone (423) 658-6705

12 Courthouse Sq
Jasper, TN 37347
Phone (423) 942-1844

24 Mountain View Dr
Ste C
Kimball, TN 37347
Phone (423) 942-1858

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1720179567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11426",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37401",
            "telephone_number": "423-877-2312",
            "fax_number": "423-877-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVENUE",
            "address_2": "PLAZA II SUITE 204",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-629-6995",
            "fax_number": "423-629-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J WALTER SLEDGE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "DURIE",
        "authorized_official_title_or_position": "BILLING OFFICE OWNER",
        "authorized_official_telephone_number": "423-877-2312"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "24377",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.