Active NPI
Callie Rose Pittard, DO
- Family Medicine Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4335
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | 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 | |
| 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 | |
| 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
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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Newport, TN
- NPI 1962443697
-
- Federally Qualified Health Center (FQHC)
- Newport, TN
- NPI 1437191194
-
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1477424802
-
- Federally Qualified Health Center (FQHC)
- Parrottsville, TN
- NPI 1669417481
-
- Federally Qualified Health Center (FQHC)
- Dandridge, TN
- NPI 1871535583
-
- Federally Qualified Health Center (FQHC)
- Hartford, TN
- NPI 1871537639
-
- Pediatric Dentistry
- Chattanooga, TN
- NPI 1275315269
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tennova Healthcare-Newport Medical Center
- General Acute Care Hospital
- Newport, TN
- NPI 1972576247
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.