NPIMap

Individual provider Active NPI

Terry Ann Melvin, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Chattanooga, TN
National Provider Identifier
1720191604
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
021452 Issued in TN
Practice address
5616 Brainerd Rd
Suite 108
Chattanooga, TN 37411-5374
Phone
(423) 803-1379
Fax
(866) 493-5813
NPI assigned
Aug 16, 2006
Last updated
Oct 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0000000393 TN
Community Based Hospice Care Agency 251G00000X 0000000008 TN
Community Based Hospice Care Agency 251G00000X 0000000622 TN
Community Based Hospice Care Agency 251G00000X 0000000009 TN
Community Based Hospice Care Agency 251G00000X 146-207-H GA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 035951 GA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 021452 TN Primary

Addresses

Primary practice location

5616 Brainerd Rd
Suite 108
Chattanooga, TN 37411-5374

Mailing address

3626 John Sims Rd
Chattanooga, TN 37412-1810
Phone (423) 802-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000691 TN Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pain Management 6305961368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care, Pain Management
Education
Tufts University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5616 Brainerd Rd
Suite 108
Chattanooga, TN 37411-5374
Phone (423) 803-1379

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as individual
Quality
80.94
Improvement activities
40
Cost
65.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035951GAMDGeriatric Medicine (Internal Medicine) Physician
021452TNMDGeriatric Medicine (Internal Medicine) Physician
146-207-HGAMDCommunity Based Hospice Care Agency
0000000008TNMDCommunity Based Hospice Care Agency
0000000009TNMDCommunity Based Hospice Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Home Primary Care CurrentSince Apr 27, 2014 Accepting new patients
Partners in Care PLLC Geriatric Medicine CurrentSince Jun 29, 2016 Accepting new patients
Hospice of Chattanooga, Inc. Hospice Care, Community Based Past Accepting new patients
Ut Physicians Inc Past Accepting new patients

Locations

3500 Dayton Blvd
Chattanooga, TN 37415
Phone (423) 362-8400

5616 Brainerd Rd
Ste 108
Chattanooga, TN 37411
Phone (423) 803-1379

Interoperability endpoints

  • Direct secure messaging: terry.melvin.1@18728.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gentiva ICleveland, TN, CCN 441603 Hospice Contracted Managing Employee Oct 27, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1720191604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 JOHN SIMS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374121810",
            "telephone_number": "423-802-0028",
            "fax_number": "866-493-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 BRAINERD RD",
            "address_2": "SUITE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115374",
            "telephone_number": "423-803-1379",
            "fax_number": "866-493-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "0000000393",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "0000000008",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "0000000622",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "0000000009",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "146-207-H",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "035951",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "021452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.