Individual provider Active NPI

Sunshine Suzanne John, PA-C

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1871745869
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6656 Issued in TN
Practice address
975 E 3Rd St Ste C830
Chattanooga, TN 37403-2173
Phone
(423) 778-9001
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6656 TN Primary
Family Medicine Physician 207Q00000X 4658 TN

Addresses

Primary practice location

975 E 3Rd St Ste C830
Chattanooga, TN 37403-2173

Mailing address

9566 Legacy Oaks Dr
Ooltewah, TN 37363-4869
Phone (971) 241-9300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415000249 TN Practitioner - Physician Assistant 6608935127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

979 E 3Rd St
Box 159
Chattanooga, TN 37403-2140

979 E 3Rd St
Suite C830
Chattanooga, TN 37403-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6656TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Center P C CurrentSince Nov 3, 2008 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients

Locations

2435 NE Cumulus Ave
Ste A
McMinnville, OR 97128
Phone (503) 472-6161

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1871745869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9566 LEGACY OAKS DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634869",
            "telephone_number": "971-241-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST STE C830",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032173",
            "telephone_number": "423-778-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SUNSHINE",
        "middle_name": "SUZANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6656",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "4658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.