Individual provider Active NPI

David Hongrong Guan, M.D.

  • Pulmonary Disease Physician
  • Chattanooga, TN
National Provider Identifier
1891772208
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35362 Issued in TN
Practice address
1814 McCallie Ave
Chattanooga, TN 37404-3025
Phone
(423) 208-9030
Fax
(800) 875-1815
NPI assigned
Dec 28, 2005
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 056561 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 3065 WI
Pulmonary Disease Physician 207RP1001X 22557 NH
Pulmonary Disease Physician 207RP1001X 3065 WI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35362 TN
Pulmonary Disease Physician 207RP1001X 35362 TN Primary

Addresses

Primary practice location

1814 McCallie Ave
Chattanooga, TN 37404-3025

Mailing address

1814 McCallie Ave
Chattanooga, TN 37404-3025
Phone (423) 208-9030

Other practice location 1

246 Pleasant St.
Memorial Building, West, Ground Floor
Concord, NH 03301-2548
Phone (603) 224-9661

Other practice location 2

3327 Chamblee Dunwoody Rd
Atlanta, GA 30341-2816
Phone (423) 208-9030

Other practice location 3

1702 W Madison Ave
Athens, TN 37303-4033
Phone (423) 208-9030

Other practice location 4

1332 Market St
Dayton, TN 37321-1266
Phone (423) 208-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040423000638 TN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 8426044454 Reassigns benefits to 2 organizations
I20230712002487 WI Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8426044454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1725 McCallie Ave
Chattanooga, TN 37404-3024
Phone (423) 208-9030

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3065WIMDChiropractor
35362TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Feb 1, 2025 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Jun 1, 2023 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Prohealth Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Feb 1, 2025 Accepting new patients
Galen Medical Group, PC PastSince Dec 1, 1993 Accepting new patients
Ut Physicians Inc Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

220 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5576

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Interoperability endpoints

  • Direct secure messaging: dguan4000820@direct.trinity-health.org
  • Direct secure messaging: dr_david_guan@yourcarecommunity.org

Organizations & group practices 9

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 1

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1891772208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043025",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043025",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Pleasant St.",
            "address_2": "Memorial Building, West, Ground Floor",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012548",
            "country_code": "US",
            "telephone_number": "603-224-9661",
            "fax_number": "603-227-7528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3327 Chamblee Dunwoody Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303412816",
            "country_code": "US",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1702 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373034033",
            "country_code": "US",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1332 Market St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373211266",
            "country_code": "US",
            "telephone_number": "423-208-9030",
            "fax_number": "800-875-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAN",
        "first_name": "DAVID",
        "middle_name": "HONGRONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "056561",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "3065",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "22557",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "3065",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "35362",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "35362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.