Individual provider Active NPI

Elizabeth Elliott Swaggerty, MD

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1730316480
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64325 Issued in TN
Practice address
1300 E 23Rd St
Chattanooga, TN 37404-5701
Phone
(423) 760-4000
Fax
(423) 760-4051
NPI assigned
Jun 19, 2009
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.099339 OH
Family Medicine Physician 207Q00000X 64325 TN Primary

Addresses

Primary practice location

1300 E 23Rd St
Chattanooga, TN 37404-5701

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-8299

Other identifiers 1

IdentifierTypeStateIssuer
64325OtherTNMEDICAL LICENSE NUMER

Other names 1

  • Elizabeth Catherine Elliott Former name

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
I20221010000656 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 6406232800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Medicos, PLLCGroup PAC ID 6204152291, 6 clinicians

Practice addresses (Care Compare)

1144 E 23Rd St
Chattanooga, TN 37408-2213

1148 E 23Rd St
Chattanooga, TN 37408-2213
Phone (423) 760-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.099339OHMDFamily Medicine Physician
64325TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Medicos, PLLC CurrentSince Jun 28, 2022 Accepting new patients
Clinica Sonrisas LLC PastSince Oct 22, 2023 Accepting new patients

Locations

1148 E 23rd St
Chattanooga, TN 37408
Phone (423) 760-4000

1148 E 23rd St
Ste 102
Chattanooga, TN 37408

1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000

Interoperability endpoints

  • Direct secure messaging: elizabeth.swaggerty.1@26609.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1730316480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 23RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045701",
            "telephone_number": "423-760-4000",
            "fax_number": "423-760-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAGGERTY",
        "first_name": "ELIZABETH",
        "middle_name": "ELLIOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.099339",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "64325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMER",
            "identifier": "64325",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ELLIOTT",
            "middle_name": "CATHERINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.