Individual provider Active NPI

Joseph Walter Sledge III, M.D.

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1891732053
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD24377 Issued in TN
Practice address
2339 McCallie Ave
Plaza 2 Ste 204
Chattanooga, TN 37404-3256
Phone
(423) 629-6995
Fax
(423) 629-6641
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD24377 TN Primary

Addresses

Primary practice location

2339 McCallie Ave
Plaza 2 Ste 204
Chattanooga, TN 37404-3256

Mailing address

PO Box 11426
Chattanooga, TN 37401-2426
Phone (423) 877-2312

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
I20040225000140 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6204722499

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24377TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Knoxville Heart, P.C. Cardiovascular Disease PastSince Aug 31, 1998 Accepting new patients
Parkwest Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1891732053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11426",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012426",
            "telephone_number": "423-877-2312",
            "fax_number": "423-877-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE",
            "address_2": "PLAZA 2 STE 204",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043256",
            "telephone_number": "423-629-6995",
            "fax_number": "423-629-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "JOSEPH",
        "middle_name": "WALTER",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD24377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.