Individual provider Active NPI

Jason Andrew Robertson, MD

  • Sports Medicine (Family Medicine) Physician
  • Chattanooga, TN
National Provider Identifier
1750480174
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
40189 Issued in TN
Practice address
2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone
(423) 624-2696
Fax
(423) 697-2055
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 40189 TN Primary

Addresses

Primary practice location

2415 McCallie Ave
Chattanooga, TN 37404-3322

Mailing address

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

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
I20071009000294 TN Practitioner - Sports MedicinePractitioner - Family Practice 3971502931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
East Tennessee State University Quillen College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Orthopaedic Group, PCGroup PAC ID 1254229156, 75 clinicians

Practice addresses (Care Compare)

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group, PC CurrentSince Sep 1, 2007 Accepting new patients
Chattanooga Orthopaedic Group PC CurrentSince Sep 1, 2007 Accepting new patients
Alabama Sports Medicine and Ortho Center Past Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients
Chattanooga Orthopaedic Group, PC Sports Medicine Past Accepting new patients

Locations

4725 Battlefield Pkwy
Ringgold, GA 30736

719 Cook Dr
Ste 103
Athens, TN 37303
Phone (423) 339-3340

2205 McCallie Ave
Ste 302
Chattanooga, TN 37404

1949 Gunbarrel Rd
Ste 150
Chattanooga, TN 37421
Phone (423) 296-0022

2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395

2400 N Ocoee St
Cleveland, TN 37311
Phone (423) 476-5547

7693 Rhea County Hwy
Ste 8
Dayton, TN 37321
Phone (423) 305-7980

2051 Hamill Rd
Ste 3000
Hixson, TN 37343

24 Mountain View Dr
Ste A
Kimball, TN 37347
Phone (423) 942-9171

Interoperability endpoints

  • Direct secure messaging: jason.robertson.1@519.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1750480174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-624-2696",
            "fax_number": "423-697-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-624-2696",
            "fax_number": "423-697-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "40189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.