Individual provider Active NPI

Callie Rose Pittard, DO

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1891287744
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4335 Issued in TN
Practice address
1300 E 23Rd St
Chattanooga, TN 37404-5701
Phone
(423) 760-4000
Fax
(423) 760-4051
NPI assigned
Jun 5, 2018
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-11291 IA
Family Medicine Physician 207Q00000X 4335 TN Primary

Addresses

Primary practice location

1300 E 23Rd St
Chattanooga, TN 37404-5701

Mailing address

1300 E 23Rd St
Chattanooga, TN 37404-5701
Phone (423) 760-4000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201001198 TN Practitioner - Family Practice 6305192519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Medical Services, Inc.Group PAC ID 1456384080, 20 clinicians

Practice addresses (Care Compare)

3222 Chestnut Hill School Rd
Dandridge, TN 37725-7238
Phone (865) 509-6611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Medical Services, Inc. Current Accepting new patients
Rural Medical Services, Inc. CurrentSince Jul 1, 2023 Accepting new patients
OB Medicos, PLLC CurrentSince Oct 5, 2021 Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Rural Medical Services, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Clinica Sonrisas LLC PastSince Oct 22, 2023 Accepting new patients

Locations

1148 E 23rd St
Chattanooga, TN 37408
Phone (423) 760-4000

1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000

3222 Chestnut Hill School Rd
Dandridge, TN 37725
Phone (865) 509-6611

4261 Big Creek Rd
Hartford, TN 37753
Phone (423) 487-2249

1413 Russell Ave
Jefferson Cty, TN 37760
Phone (865) 471-0314

103 Wilton Springs Rd
Newport, TN 37821
Phone (423) 487-2222

207 Murray Dr
Newport, TN 37821
Phone (423) 613-3300

229 Hedrick Dr
Newport, TN 37821
Phone (423) 623-1057

111 Mockingbird Ave
Parrottsville, TN 37843
Phone (423) 625-1170

Interoperability endpoints

  • Direct secure messaging: callie.pittard.p1@direct.ruralmedicalservices.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1891287744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 23RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045701",
            "telephone_number": "423-760-4000",
            "fax_number": "423-760-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 23RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045701",
            "telephone_number": "423-760-4000",
            "fax_number": "423-760-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTARD",
        "first_name": "CALLIE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11291",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "4335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.