Individual provider Active NPI

Karisten Rochelle Djernes, M.D.

  • Family Medicine Physician
  • Ooltewah, TN
National Provider Identifier
1841581865
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50851 Issued in TN
Practice address
6059 Arbury Way
Ste 101
Ooltewah, TN 37363
Phone
(423) 238-8880
Fax
(423) 238-8881
NPI assigned
Apr 25, 2011
Last updated
Aug 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50851 TN Primary

Addresses

Primary practice location

6059 Arbury Way
Ste 101
Ooltewah, TN 37363

Mailing address

6059 Arbury Way
Ste 101
Ooltewah, TN 37363
Phone (423) 238-8880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916000607 TN Practitioner - Family Practice 5496991911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

1720 Gunbarrel Rd
Suite 110
Chattanooga, TN 37421-3192
Phone (423) 899-5241

975 E 3Rd St
Chattanooga, TN 37403-2147

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50851TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2016 Accepting new patients
Chattanooga Hamilton County Hospital Authority Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Erlanger Health Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients

Locations

1720 Gunbarrel Rd
Ste 110
Chattanooga, TN 37421
Phone (423) 894-6752

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 4

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 4

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1841581865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 ARBURY WAY",
            "address_2": "STE 101",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-238-8880",
            "fax_number": "423-238-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 ARBURY WAY",
            "address_2": "STE 101",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-238-8880",
            "fax_number": "423-238-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJERNES",
        "first_name": "KARISTEN",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "50851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.