Chattanooga Sports Institute

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

CHATTANOOGA SPORTS INSTITUTE

Practice address

4206 N Access Rd
Chattanooga, TN 37415-3801

Phone

(423) 472-7938

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

Danielle Mitchell, MD

Title

President

Phone

(423) 472-7938

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1770915928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 N ACCESS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 N ACCESS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153801",
            "telephone_number": "423-472-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA SPORTS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-472-7938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chattanooga Spine & Sport
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• Chattanooga Sports Chiropractic Institute, PLLC
• Chattanooga Sports Therapy
• Chattanooga State Community College Student Health Clinic
• Chattanooga Supportive Services, Inc.
• Chattanooga Surgical Assistants LLC
• Chattanooga Surgical Oncology and Associates, PLLC

• Sports Medicine (Family Medicine) Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Sports Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.