Individual provider Active NPI

John R McGauley Jr., M.D.

  • Emergency Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1831321553
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000006679 Issued in TN
Practice address
3134 Waterfront Dr
Chattanooga, TN 37419-1535
Phone
(423) 821-5645
Fax
(423) 821-1766
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0000006679 TN Primary
General Acute Care Hospital 282N00000X MD0000006679 TN

Addresses

Primary practice location

3134 Waterfront Dr
Chattanooga, TN 37419-1535

Mailing address

3134 Waterfront Dr
Chattanooga, TN 37419-1535
Phone (423) 821-5645

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

LicenseStateTypeSpecialty
MD0000006679TNMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Cho Wound Care Physicians PLLC Emergency Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1831321553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 WATERFRONT DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191535",
            "telephone_number": "423-821-5645",
            "fax_number": "423-821-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 WATERFRONT DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191535",
            "telephone_number": "423-821-5645",
            "fax_number": "423-821-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAULEY",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000006679",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "MD0000006679",
            "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 Aug 13, 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.

Verify at the official NPI Registry.