Active NPI
Karen Gayl Ekwueme, M.D.
- Family Medicine Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 66165
- Practice address
- 1521 Gunbarrel Rd # 103
Chattanooga, TN 37421-3124 - Phone
- (423) 531-0911
- Fax
- (423) 531-0912
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 66165 | TN | Primary |
Addresses
Primary practice location
1521 Gunbarrel Rd # 103
Chattanooga, TN 37421-3124
Mailing address
1025 Peerless Xing NW
Cleveland, TN 37312-3764
Phone (423) 476-5990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61036 | Other | WI | DEAN HEALTH SYSTEMS, INC |
Other names 1
- Karen Gayl King
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
590 Lanier Ave W
Fayetteville, GA 30214-1504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66165 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DX Mso, PLLC | Current | Accepting new patients | |
| Metro Treatment of Georgia, LP | Current | Accepting new patients | |
| Afc Urgent Care and Family Care of WNC, PLLC | Past | Accepting new patients | |
| Advocate North Side Health Network | Past | Accepting new patients |
Locations
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
1521 Gunbarrel Rd
#103
Chattanooga, TN 37421
Phone (423) 531-0911
1521 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
Interoperability endpoints
- karen.ekwueme.npi1720183890.reliant@direct.optumcare.masshiway.net
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Chattanooga, TN
- NPI 1225381148
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Methadone Clinic
- Augusta, GA
- NPI 1144437286
-
- Clinic/Center
- Chicago, IL
- NPI 1780788323
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1720183890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 PEERLESS XING NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123764",
"telephone_number": "423-476-5990",
"fax_number": "423-476-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 GUNBARREL RD # 103",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213124",
"telephone_number": "423-531-0911",
"fax_number": "423-531-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKWUEME",
"first_name": "KAREN",
"middle_name": "GAYL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "66165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH SYSTEMS, INC",
"identifier": "61036",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "KING",
"middle_name": "GAYL",
"code": "1",
"type": "Former 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 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.