NPIMap

Individual provider Active NPI

Cameron Edward Golightly, DO

  • Nephrology Physician
  • Chattanooga, TN
National Provider Identifier
1821442682
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4341 Issued in TN
Practice address
251 N Lyerly St Ste 100
Chattanooga, TN 37404-2743
Phone
(423) 826-8000
NPI assigned
Apr 19, 2016
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 88196 GA
Nephrology Physician 207RN0300X 4341 TN Primary

Addresses

Primary practice location

251 N Lyerly St Ste 100
Chattanooga, TN 37404-2743

Mailing address

251 N Lyerly St Ste 100
Chattanooga, TN 37404-2743
Phone (423) 826-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616000629 TN Practitioner - NephrologyPractitioner - Internal Medicine 1153614961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Wake Forest University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yium, Shenouda and Miller PtrshpGroup PAC ID 3274510037, 49 clinicians

Practice addresses (Care Compare)

251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2743
Phone (423) 826-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
81.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
88196GAMDNephrology Physician
4341TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yium, Shenouda & Miller Ptrshp CurrentSince Aug 2, 2021 Accepting new patients

Locations

251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000

2253 Chambliss Ave NW
Ste 200
Cleveland, TN 37311
Phone (423) 339-2889

5243 Little Debbie Pkwy
Ste 117
Ooltewah, TN 37363
Phone (423) 269-6455

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1821442682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-826-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-826-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIGHTLY",
        "first_name": "CAMERON",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "88196",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "4341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.