NPIMap

Organization Active NPI

Erlanger Health

  • Internal Medicine Physician
  • Ringgold, GA
National Provider Identifier
1871295709
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ERLANGER HEALTH
Practice address
6984 Nashville St
Ringgold, GA 30736-2420
Phone
(423) 778-8682
NPI assigned
Mar 22, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ERLANGER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Lynn Dejaco
Title
Cfo, Evp
Phone
(423) 778-7212

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU
Neurological Surgery Physician 207T00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Pediatrics Physician 208000000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Psychiatry Physician 2084P0800X NU
Diagnostic Radiology Physician 2085R0202X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
Hospitalist Physician 208M00000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

6984 Nashville St
Ringgold, GA 30736-2420

Mailing address

PO Box 11589
Chattanooga, TN 37401-2589
Phone (423) 778-8682

Other names 1

  • EMG GA CLINICS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926001086 GA Part B Supplier - Clinic/Group Practice 1153780226 Receives reassigned benefits from 20 practitioners
Practice locations: Dalton, GA; Fort Oglethorpe, GA; Lookout Mountain, GA; Ringgold, GA

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Erlanger Health12 organizations share this tax ID, including this one
Part of
Erlanger Health

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1329 W Walnut Ave
Ste 1
Dalton, GA 30720
Phone (423) 778-9901

60 Erlanger South Dr
Ringgold, GA 30736
Phone (706) 937-9292

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Erlanger Murphy Medical CenterMurphy, NC, CCN 34Z328 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Erlanger Murphy Medical CenterMurphy, NC, CCN 341328 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Erlanger Medical CenterChattanooga, TN, CCN 440104 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Erlanger Bledsoe HospitalPikeville, TN, CCN 44Z306 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Erlanger Murphy Medical Group, FamilyMurphy, NC, CCN 343459 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Erlanger MMC Urgent CareMurphy, NC, CCN 343461 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Erlanger Primary Care PeachtreeMurphy, NC, CCN 343472 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023
Erlanger Andrews Family PracticeAndrews, NC, CCN 343471 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2023

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 227

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 227

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1871295709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11589",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012589",
            "telephone_number": "423-778-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6984 NASHVILLE ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362420",
            "telephone_number": "423-778-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERLANGER HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERLANGER HEALTH",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "DEJACO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CFO, EVP",
        "authorized_official_telephone_number": "423-778-7212"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMG GA CLINICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.