Individual provider Active NPI

Robert George Mynatt, M.D.

  • Otolaryngology Physician
  • Hixson, TN
National Provider Identifier
1891995940
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD43601 Issued in TN
Practice address
1724 Hamill Road
Ste 102, Oasis Park Building I
Hixson, TN 37343-4905
Phone
(423) 267-6738
Fax
(423) 209-9106
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2003015432 MO
Otolaryngology Physician 207Y00000X MD43601 TN Primary

Addresses

Primary practice location

1724 Hamill Road
Ste 102, Oasis Park Building I
Hixson, TN 37343-4905

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

2290 Ogletree Ave Ste 108
Chattanooga, TN 37421-8828
Phone (423) 267-6738

Other practice location 2

2565 Business Park Dr NE
Cleveland, TN 37311-6503
Phone (423) 267-6738

Other identifiers 1

IdentifierTypeStateIssuer
1508877MedicaidTN

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
I20080917000308 TN Practitioner - Otolaryngology 4284701202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Tennessee, HSC, College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003015432MOMDOtolaryngology Physician
MD43601TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jan 12, 2021 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jan 12, 2021 Accepting new patients

Locations

2290 Ogletree Ave
Ste 108
Chattanooga, TN 37421

1651 Gunbarrel Rd
Ste 101A
Chattanooga, TN 37421
Phone (423) 899-9133

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1724 Hamill Rd
Ste 204
Hixson, TN 37343
Phone (423) 877-4705

1724 Hamill Rd
Ste 102
Hixson, TN 37343

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: robert.mynatt@ahp.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1891995940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HAMILL ROAD",
            "address_2": "STE 102, OASIS PARK BUILDING I",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434905",
            "telephone_number": "423-267-6738",
            "fax_number": "423-209-9106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 Ogletree Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374218828",
            "country_code": "US",
            "telephone_number": "423-267-6738",
            "fax_number": "423-635-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2565 Business Park Dr NE",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373116503",
            "country_code": "US",
            "telephone_number": "423-267-6738",
            "fax_number": "423-209-9106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYNATT",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2003015432",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD43601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508877",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.