Individual provider Active NPI

Naveen Mohyuddin, PA-C

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1780159699
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006988 Issued in VA
Practice address
6141 Shallowford Rd Ste 100
Chattanooga, TN 37421-1663
Phone
(423) 498-2000
Fax
(423) 498-2001
NPI assigned
Oct 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 3715 TN
Physician Assistant 363A00000X 0110006988 VA Primary
Physician Assistant 363A00000X 3715 TN
Medical Physician Assistant 363AM0700X 0110006988 VA
Psychiatry Physician 2084P0800X 3715 TN

Addresses

Primary practice location

6141 Shallowford Rd Ste 100
Chattanooga, TN 37421-1663

Mailing address

1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671
Phone (757) 312-6754

Other practice location 1

210 Walmart Dr Ste A
Soddy Daisy, TN 37379-5022
Phone (423) 498-2000

Other identifiers 2

IdentifierTypeStateIssuer
0110006988OtherVAPA
Q056053MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190221001839 TN Practitioner - Physician Assistant 4385983170 Reassigns benefits to 6 organizations
I20200401000083 VA Practitioner - Physician Assistant 4385983170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Recovery PLLCGroup PAC ID 2961777446, 5 clinicians
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

6141 Shallowford Rd
Suite 100
Chattanooga, TN 37421-1663
Phone (423) 498-2000

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3715TNMDAddiction Medicine (Preventive Medicine) Physician
0110006988VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Feb 24, 2020 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 23, 2023 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Feb 1, 2026 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 23, 2023 Accepting new patients
Madison Behavioral Health, LLC Psychiatry CurrentSince Sep 4, 2022 Accepting new patients
Family Medicine West PLLC CurrentSince Jan 1, 2019 Accepting new patients
Chesapeake Regional Medical Group Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Chattanooga Skin & Cancer Clinic Past Accepting new patients

Locations

220 Fort Sanders West Blvd
Ste 200
Knoxville, TN 37922
Phone (423) 346-5566

510 Hospital Dr
Ste 260
Madison, TN 37115
Phone (615) 769-5000

500 Hospital Dr
Madison, TN 37115
Phone (615) 865-0300

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

1301 Executive Blvd
#200
Chesapeake, VA 23320
Phone (757) 312-6460

Interoperability endpoints

  • Direct secure messaging: naveen.mohyuddin@488678167609348.direct.elationemr.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1538784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1780159699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 EXECUTIVE BLVD STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203671",
            "telephone_number": "757-312-6754",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211663",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Walmart Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Soddy Daisy",
            "state": "TN",
            "postal_code": "373795022",
            "country_code": "US",
            "telephone_number": "423-498-2000",
            "fax_number": "423-498-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHYUDDIN",
        "first_name": "NAVEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-06",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "3715",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006988",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3715",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110006988",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "3715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "0110006988",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q056053",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.