Active NPI
Autumn Newman, FNP-C
- Dermatology Physician
- Hixson, TN
National Provider Identifier
1861946394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 21513
- Practice address
- 2051 Hamill Rd
#301
Hixson, TN 37343-6614 - Phone
- (423) 870-3376
- NPI assigned
- Aug 13, 2016
- Last updated
- Aug 13, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 21513 | TN | Primary |
Addresses
Primary practice location
2051 Hamill Rd
#301
Hixson, TN 37343-6614
Mailing address
2051 Hamill Rd
#301
Hixson, TN 37343-6614
Phone (423) 870-3376
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
651 E 4TH St
Suite 302
Chattanooga, TN 37403-1935
Phone (423) 977-7546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21513 | TN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Derm Center, PLLC | Dermatology | Current | Accepting new patients |
Locations
651 E 4th St
Ste 302
Chattanooga, TN 37403
Phone (423) 977-7546
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471046400000",
"number": "1861946394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 HAMILL RD",
"address_2": "#301",
"city": "HIXSON",
"state": "TN",
"postal_code": "373436614",
"telephone_number": "423-870-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 HAMILL RD",
"address_2": "#301",
"city": "HIXSON",
"state": "TN",
"postal_code": "373436614",
"telephone_number": "423-870-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "AUTUMN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-13",
"last_updated": "2016-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "21513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; 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.