Active NPI
Jeffrey E Tipps, M.D.
- Diagnostic Radiology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD0000038291
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3893261 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Saint Francis Bartlett Medical Center
- Arkansas Methodist Medical Center
- Baptist Memorial Hospital-Crittenden, Inc
- Baptist Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000038291 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
AR
-
- Cardiovascular Disease Physician
- Chattanooga, TN
- NPI 1851695480
-
- Diagnostic Radiology Physician
- Metairie, LA
- NPI 1710029673
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
-
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.