Individual provider Active NPI

Tatyana Mary Jacqui Joab, M.D.

  • Nephrology Physician
  • Cleveland, TN
National Provider Identifier
1730615295
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
64989 Issued in TN
Practice address
1060 Peerless Xing NW Ste 101
Cleveland, TN 37312-3785
Phone
(423) 339-3340
Fax
(423) 339-9927
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 64989 TN Primary

Addresses

Primary practice location

1060 Peerless Xing NW Ste 101
Cleveland, TN 37312-3785

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

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
I20220907002916 TN Practitioner - NephrologyPractitioner - Internal Medicine 1052795226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Kidney Care PLLCGroup PAC ID 2860780459, 4 clinicians

Practice addresses (Care Compare)

105 Lee Pkwy Dr
Suite G1
Chattanooga, TN 37421-6708
Phone (423) 892-4530

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Kidney Care PLLC Nephrology CurrentSince Sep 1, 2022 Accepting new patients

Locations

744 Tell St
Ste 100
Athens, TN 37303
Phone (423) 507-8826

105 Lee Parkway Dr
Ste G1
Chattanooga, TN 37421
Phone (423) 339-3340

915 Clingan Ridge Dr NW
Cleveland, TN 37312
Phone (423) 339-3340

1060 Peerless Xing NW
Ste 101
Cleveland, TN 37312
Phone (423) 339-3340

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1730615295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171",
            "fax_number": "815-435-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS XING NW STE 101",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123785",
            "telephone_number": "423-339-3340",
            "fax_number": "423-339-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOAB",
        "first_name": "TATYANA",
        "middle_name": "MARY JACQUI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "64989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.