Chattanooga Orthopaedic Group, PC
Organization Active NPI Orthopaedic Surgery Physician · Athens, TN
NPI 1770001752 · NPPES record last updated Aug 30, 2017
Key facts
- NPI
- 1770001752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CHATTANOOGA ORTHOPAEDIC GROUP, PC
- Practice address
- 719 Cook Dr
Athens, TN 37303-3495 - Phone
- (423) 624-2696
- Fax
- (423) 622-6249
- NPI assigned
- Aug 30, 2017
- Organization subpart
- No
Authorized official
- Name
- Rebecca Farmer, CEO
- Title
- Ceo
- Phone
- (423) 624-2696
Other NPIs on the same Medicare enrollment 4
Practitioners 7
-
Zachary Ryan Beene, MSPT
-
Aizha Little, DPT
-
Meagan J. Moyers, PT
-
Barrett Schock, PA-C
-
Dana Simpson, FNP
-
Chad Carlton Smalley, M.D.
-
Claude Jason Wamack, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000657 | TN | Part B Supplier - Clinic/Group Practice | 1254229156 |
Receives reassigned benefits from 83 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kimball, TN; Ringgold, GA; Hixson, TN; Dayton, TN; Chattanooga, TN; Athens, TN; Cleveland, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
719 Cook Dr
Athens, TN 37303-3495
Mailing address
2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696
Other providers in Athens, TN
- Jessica Cato
- Hannah Ceballos
- Robert Donald Chaffin III
- Champion Physical Therapy LLC Halls
- Charles B Cox MDPC
- Cherokee Medical Group PC
- Barbara Ruth Childress
- David Ryan Childress
- Robert Kevin Chin
- Ami Christensen
All providers in Athens, TN · Orthopaedic Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.