Active NPI
Philip Thomas Newton Jr., MD
- General Practice Physician
- Chattanooga, TN
National Provider Identifier
1790789717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD8478
- Practice address
- 3812 Tennessee Ave
Chattanooga, TN 37409-1203 - Phone
- (423) 821-1177
- Fax
- (423) 821-1188
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD8478 | TN | Primary |
| General Practice Physician | 208D00000X | MD019572 | GA |
Addresses
Primary practice location
3812 Tennessee Ave
Chattanooga, TN 37409-1203
Mailing address
PO Box 2459
Chattanooga, TN 37409-0459
Phone (423) 821-1177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3169348 | Medicaid | TN | |
| 00233285A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8678 | TN | MD | Clinical Social Worker |
| MD019572 | GA | MD | General Practice Physician |
| MD8478 | TN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Past | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235001600000",
"number": "1790789717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2459",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374090459",
"telephone_number": "423-821-1177",
"fax_number": "423-821-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 TENNESSEE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374091203",
"telephone_number": "423-821-1177",
"fax_number": "423-821-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "PHILIP",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2009-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "MD8478",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "MD019572",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3169348",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00233285A",
"state": "GA"
}
],
"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, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.