Organization Active NPI

American Id Group LLC

  • Infectious Disease Physician
  • Chattanooga, TN
National Provider Identifier
1881484632
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
AMERICAN ID GROUP LLC
Practice address
2339 McCallie Ave Ste 401
Chattanooga, TN 37404-3209
Phone
(423) 654-7000
Fax
(423) 654-7001
NPI assigned
May 7, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Sunena Sharma
Title
Manager
Phone
(980) 347-1517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

2339 McCallie Ave Ste 401
Chattanooga, TN 37404-3209

Mailing address

2339 McCallie Ave Ste 401
Chattanooga, TN 37404-3209
Phone (423) 654-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602000348 TN Part B Supplier - Clinic/Group Practice 7719496835 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

2333 McCallie Ave
Ste 401
Chattanooga, TN 37404
Phone (786) 440-1086

2339 McCallie Ave
Ste 401
Chattanooga, TN 37404
Phone (423) 629-5524

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1881484632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE STE 401",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043209",
            "telephone_number": "423-654-7000",
            "fax_number": "423-654-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE STE 401",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043209",
            "telephone_number": "423-654-7000",
            "fax_number": "423-654-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ID GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SUNENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "980-347-1517"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.