Callie Rose Pittard, DO
Individual provider Active NPI Family Medicine Physician · Chattanooga, TN
NPI 1891287744 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1891287744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4335 (TN)
- Practice address
- 1300 E 23Rd St
Chattanooga, TN 37404-5701 - Phone
- (423) 760-4000
- Fax
- (423) 760-4051
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Medical Services, Inc.
Practice addresses (Care Compare)
3222 Chestnut Hill School Rd
Dandridge, TN 37725-7238
Phone (865) 509-6611
Hospital & facility affiliations
- Tennova Healthcare - Newport Medical Center
- Leconte Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220201001198 | TN | Practitioner - Family Practice | 6305192519 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11291 | IA | MD | Family Medicine Physician |
| 4335 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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. | Current |
Accepting new patients | |
| Rural Medical Services, Inc. | Current | Accepting new patients | |
| Rural Medical Services, Inc. | Current |
Accepting new patients | |
| OB Medicos, PLLC | Current |
Accepting new patients | |
| Clinica Sonrisas LLC | Past |
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
207 Murray Dr
Newport, TN 37821
Phone (423) 613-3300
229 Hedrick Dr
Newport, TN 37821
Phone (423) 623-1057
103 Wilton Springs Rd
Newport, TN 37821
Phone (423) 487-2222
111 Mockingbird Ave
Parrottsville, TN 37843
Phone (423) 625-1170
Interoperability endpoints
- callie.pittard.p1@direct.ruralmedicalservices.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-11291 | IA | |
| Family Medicine Physician | 207Q00000X | 4335 | TN | Yes |
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
Other providers in Chattanooga, TN
- Penny E Pirtle
- James Edward Pitcher II
- Nataria Pitiyanuvath
- Samantha Pitkin
- Summer Pitt
- Kenneth G Pittman
- Martha Bynum Pittman
- Jaqueline E Pitts
- Miriam Grace Pitts
- Stanley C. Pitts
All providers in Chattanooga, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.