Individual provider Active NPI

Mary Elizabeth Still

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1720733462
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4876 Issued in TN
Practice address
721 Glenwood Dr Ste W550
Chattanooga, TN 37404-1155
Phone
(423) 698-8692
Fax
(423) 624-7813
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4876 TN Primary

Addresses

Primary practice location

721 Glenwood Dr Ste W550
Chattanooga, TN 37404-1155

Mailing address

721 Glenwood Dr Ste W550
Chattanooga, TN 37404-1155
Phone (423) 698-8692

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220328000973 TN Practitioner - Physician Assistant 1254726391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4876TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc CurrentSince Dec 5, 2022 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Dec 5, 2022 Accepting new patients
State of Tennessee CurrentSince Nov 14, 2022 Accepting new patients
Chattanooga Cares, Inc. CurrentSince Feb 21, 2022 Accepting new patients
State of Tennessee State F & a Payroll CurrentSince Nov 14, 2022 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients

Locations

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

721 Glenwood Dr
Ste W550
Chattanooga, TN 37404
Phone (423) 698-8692

721 Glenwood Dr
Ste 550
Chattanooga, TN 37404

721 Glenwood Dr
Ste W560
Chattanooga, TN 37404
Phone (423) 622-2494

1000 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 265-2273

1000 E 3rd St
Ste 302
Chattanooga, TN 37403
Phone (423) 265-5044

100 Moccasin Bend Rd
Chattanooga, TN 37405
Phone (423) 785-3321

Interoperability endpoints

  • Direct secure messaging: marystill@tnmhpf.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1720733462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR STE W550",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041155",
            "telephone_number": "423-698-8692",
            "fax_number": "423-624-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 GLENWOOD DR STE W550",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041155",
            "telephone_number": "423-698-8692",
            "fax_number": "423-624-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.