NPIMap

Organization Active NPI

Center for Integrative Medicine, P.C.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1790956167
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD28299 Issued in TN
Legal business name
CENTER FOR INTEGRATIVE MEDICINE, P.C.
Practice address
1100 E 3Rd St
Suite G-100
Chattanooga, TN 37403-2201
Phone
(423) 643-2246
Fax
(423) 643-2030
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Jeffrey S Jump, M.D.NPI 1467462150
Title
Director
Phone
(423) 643-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD28299 TN Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD36510 TN

Addresses

Primary practice location

1100 E 3Rd St
Suite G-100
Chattanooga, TN 37403-2201

Mailing address

1100 E 3Rd St
Suite G-100
Chattanooga, TN 37403-2201
Phone (423) 643-2246

National Provider Directory

National Provider Directory

Locations

1100 E 3rd St
Ste G100
Chattanooga, TN 37403
Phone (423) 643-1961

320 E Main St
Ste 2
Chattanooga, TN 37408
Phone (423) 643-2246

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1790956167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E 3RD ST",
            "address_2": "SUITE G-100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032201",
            "telephone_number": "423-643-2246",
            "fax_number": "423-643-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 3RD ST",
            "address_2": "SUITE G-100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032201",
            "telephone_number": "423-643-2246",
            "fax_number": "423-643-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTEGRATIVE MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "JUMP",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-643-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD28299",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD36510",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 13, 2008; 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.