Individual provider Active NPI

Kreg Gosta Jonson, M.D.

  • Obstetrics Physician
  • Chattanooga, TN
National Provider Identifier
1720407182
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
57968 Issued in TN
Practice address
1511 Gunbarrel Rd Ste 111
Chattanooga, TN 37421-3897
Phone
(423) 553-5999
Fax
(423) 602-7456
NPI assigned
Apr 14, 2014
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 57968 TN Primary

Addresses

Primary practice location

1511 Gunbarrel Rd Ste 111
Chattanooga, TN 37421-3897

Mailing address

1511 Gunbarrel Rd Ste 111
Chattanooga, TN 37421-3897
Phone (423) 553-5999

Other practice location 1

1032 McCallie Ave Ste 310
Chattanooga, TN 37403-2836
Phone (423) 266-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017003474 TN Practitioner - Obstetrics/Gynecology 7719239862 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2700 Westside Dr NW
Suite 204
Cleveland, TN 37312-3682
Phone (423) 476-3711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57968TNMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Jan 20, 2025 Accepting new patients
Jack M Rowland, MD, LLC CurrentSince Oct 4, 2018 Accepting new patients
Bradley Physician Services, LLC CurrentSince Feb 1, 2026 Accepting new patients
Erlanger Health CurrentSince Jan 20, 2025 Accepting new patients

Locations

1032 McCallie Ave
Ste 310
Chattanooga, TN 37403
Phone (423) 266-6116

1511 Gunbarrel Rd
Ste 111
Chattanooga, TN 37421
Phone (423) 553-5999

1751 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 697-1857

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1720407182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 GUNBARREL RD STE 111",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213897",
            "telephone_number": "423-553-5999",
            "fax_number": "423-602-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 GUNBARREL RD STE 111",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213897",
            "telephone_number": "423-553-5999",
            "fax_number": "423-602-7456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 McCallie Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032836",
            "country_code": "US",
            "telephone_number": "423-266-6116",
            "fax_number": "423-498-1503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONSON",
        "first_name": "KREG",
        "middle_name": "GOSTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "57968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.