Active NPI
Mary Alexis Duffy, M.D.
- Contractor
- Chattanooga, TN
National Provider Identifier
1730330028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MEDICAL TN012927
- Practice address
- 255 S Crest Rd
Chattanooga, TN 37404-5522 - Phone
- (423) 698-4211
- NPI assigned
- Oct 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MEDICAL TN012927 | TN | Primary |
Addresses
Primary practice location
255 S Crest Rd
Chattanooga, TN 37404-5522
Mailing address
1021 McCallie Ave
Chattanooga, TN 37403-2814
Phone (423) 322-6372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MEDICAL TN012927 | TN | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223078400000",
"number": "1730330028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 MCCALLIE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032814",
"telephone_number": "423-322-6372",
"fax_number": "205-268-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S CREST RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374045522",
"telephone_number": "423-698-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "MARY",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-04",
"last_updated": "2008-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TN",
"license": "MEDICAL TN012927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.