Individual provider Active NPI

Jeffrey E Tipps, M.D.

  • Diagnostic Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1851372932
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD0000038291 Issued in TN
Practice address
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone
(423) 495-4430
Fax
(423) 495-6179
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD0000038291 TN Primary

Addresses

Primary practice location

2525 Desales Ave
Chattanooga, TN 37404-1161

Mailing address

601 Dodds Ave
Chattanooga, TN 37404-3911
Phone (423) 629-9783

Other identifiers 1

IdentifierTypeStateIssuer
3893261MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040621001704 TN Practitioner - Diagnostic Radiology 5294710588 Reassigns benefits to 1 organization
I20250422001003 AR Practitioner - Diagnostic Radiology 5294710588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

Practice addresses (Care Compare)

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191

900 W Kingshighway
Paragould, AR 72450-5942
Phone (870) 239-7101

Hospital & facility affiliations

  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000038291TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jan 28, 2024 Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology Past Accepting new patients
Memorial Health Care System, Inc. Past Accepting new patients

Locations

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

10 Little Brook Rd
West Wareham, MA 02576

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1851372932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043911",
            "telephone_number": "423-629-9783",
            "fax_number": "423-698-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041161",
            "telephone_number": "423-495-4430",
            "fax_number": "423-495-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPS",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000038291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3893261",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.