Active NPI
Naveen Mohyuddin, PA-C
- Physician Assistant
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006988
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110006988 | Other | VA | PA |
| Q056053 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3715 | TN | MD | Addiction Medicine (Preventive Medicine) Physician |
| 0110006988 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Madison Behavioral Health, LLC | Psychiatry | Current | Accepting new patients |
| Family Medicine West PLLC | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Physician Assistant | Current | 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
- 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.
-
- Surgery Physician
- Chesapeake, VA
- NPI 1699940270
Physician Assistant
-
- Addiction Medicine (Preventive Medicine) Physician
- Chattanooga, TN
- NPI 1770011652
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Psychiatry Physician
- Nunnelly, TN
- NPI 1831719442
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1083962815
-
- Psychiatric/Mental Health Nurse Practitioner
- Goodlettsville, TN
- NPI 1992575203
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Rural Health Clinic/Center
- Wartburg, TN
- NPI 1902292865
-
- Psychiatry Physician
- Madison, TN
- NPI 1891741450
-
- Gynecology Physician
- Franklin, TN
- NPI 1164679411
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1558812198
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.