Active NPI
Stephen Smith Hawkins, MD
- Infectious Disease Physician
- Chattanooga, TN
National Provider Identifier
1841253754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 009456
- Practice address
- 1000 East Third Street
Suite 302
Chattanooga, TN 37403-4115 - Phone
- (423) 664-5165
- Fax
- (423) 664-5164
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 009456 | TN | Primary |
| Infectious Disease Physician | 207RI0200X | 028006 | GA |
Addresses
Primary practice location
1000 East Third Street
Suite 302
Chattanooga, TN 37403-4115
Mailing address
1000 East Third Street
Suite 302
Chattanooga, TN 37403-4115
Phone (423) 664-5165
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3185106 | Medicaid | TN | |
| 1734349 | Other | LA | LOUISIANA MEDICAID |
| 621726531002 | Other | TN | CIGNA |
| 0005478016 | Other | TN | AETNA |
| 1891884292 | Other | GROUP N P I | |
| 3081724 | Other | TN | BLUE CROSS |
| 5902599 | Other | NC | NORTH CAROLINA MEDICAID |
| 00304213C | 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 |
|---|---|---|---|
| 028006 | GA | MD | Infectious Disease Physician |
| 009456 | TN | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388361600000",
"number": "1841253754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EAST THIRD STREET",
"address_2": "SUITE 302",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374034115",
"telephone_number": "423-664-5165",
"fax_number": "423-664-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EAST THIRD STREET",
"address_2": "SUITE 302",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374034115",
"telephone_number": "423-664-5165",
"fax_number": "423-664-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "STEPHEN",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2013-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TN",
"license": "009456",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "028006",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3185106",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA MEDICAID",
"identifier": "1734349",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "621726531002",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005478016",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP N P I",
"identifier": "1891884292",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3081724",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAID",
"identifier": "5902599",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00304213C",
"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 Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.