Individual provider Active NPI

Jeanie D Dassow, MD

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1740226562
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
46420 Issued in TN
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64002900MedicaidKY

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
I20101020001105 TN Practitioner - Obstetrics/Gynecology 9739106378 Reassigns benefits to 2 organizations

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
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
46420TNMDPharmacist
35445KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 1, 2010 Accepting new patients
Chattanooga Hamilton County Hospital Authority Obstetrics & Gynecology CurrentSince Aug 1, 2010 Accepting new patients
Kentucky Medical Services Foundation, Inc Obstetrics & Gynecology Current Accepting new patients
Erlanger Health Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority Current Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.