Active NPI
Jeanie D Dassow, MD
- Obstetrics & Gynecology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 46420
- Practice address
- 979 East Third Street
Suite C-725
Chattanooga, TN 37403-3329 - Phone
- (423) 778-2580
- Fax
- (423) 778-7489
- NPI assigned
- Jun 21, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35445 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | 46420 | TN | Primary |
Addresses
Primary practice location
979 East Third Street
Suite C-725
Chattanooga, TN 37403-3329
Mailing address
PO Box 11589
Chattanooga, TN 37401-2589
Phone (423) 778-3274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64002900 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Kentucky College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 E 3Rd St
Chattanooga, TN 37403-2147
979 E 3Rd St
Chattanooga, TN 37403-2136
979 E 3Rd St
Suite C725
Chattanooga, TN 37403-3329
Phone (423) 778-2580
979 E 3Rd St G
Chattanooga, TN 37403-2136
Phone (423) 778-7485
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46420 | TN | MD | Pharmacist |
| 35445 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Obstetrics & Gynecology | Current | Accepting new patients |
| Kentucky Medical Services Foundation, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Erlanger Health | Obstetrics & Gynecology | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Cherokee Health Systems | Obstetrics & Gynecology | Past | Accepting new patients |
| Erlanger Health | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
217 Elm Tree Ln
Lexington, KY 40507
Phone (859) 257-8801
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
100 E 37th St
Chattanooga, TN 37410
Phone (423) 778-2700
1200 Dodson Ave
Chattanooga, TN 37406
Phone (423) 778-2800
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
979 E 3rd St
Ste C725
Chattanooga, TN 37403
Phone (423) 756-4796
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Organizations & group practices 9
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.
-
dba UT Erlanger Health Network
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Obstetrics & Gynecology
-
dba Erlanger Bledsoe Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
dba Dodson Avenue Community Health
- Federally Qualified Health Center (FQHC)
- Chattanooga, TN
- NPI 1609961549
-
dba South Side Community Health
- Federally Qualified Health Center (FQHC)
- Chattanooga, TN
- NPI 1962597179
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Obstetrics & Gynecology
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1740226562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11589",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374012589",
"telephone_number": "423-778-3274",
"fax_number": "423-778-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 EAST THIRD STREET",
"address_2": "SUITE C-725",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374033329",
"telephone_number": "423-778-2580",
"fax_number": "423-778-7489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASSOW",
"first_name": "JEANIE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "35445",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "46420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64002900",
"state": "KY"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.