Individual provider Active NPI

Joseph Raymond Pendley, D.O.

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1902250137
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3881 Issued in TN
Practice address
975 E 3Rd St Ste B-520
Chattanooga, TN 37403-2173
Phone
(423) 778-5661
Fax
(423) 778-5664
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 3881 TN Primary

Addresses

Primary practice location

975 E 3Rd St Ste B-520
Chattanooga, TN 37403-2173

Mailing address

975 E 3Rd St Ste B-520
Chattanooga, TN 37403-2173
Phone (423) 778-5661

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
I20221003001738 TN Practitioner - Cardiovascular Disease (Cardiology) 5890081178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Lincoln Memorial University Medical Department, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

2253 Chambliss Ave NW
Suite 301
Cleveland, TN 37311-3861
Phone (423) 476-5002

979 E 3Rd St
Suite C735
Chattanooga, TN 37403-3310
Phone (423) 778-9101

Hospital & facility affiliations

  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Physician Services, LLC CurrentSince Nov 1, 2025 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 1, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority Current Accepting new patients
Erlanger Health Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health Cardiovascular Disease Past Accepting new patients

Locations

975 E 3rd St
Ste B520
Chattanooga, TN 37403

979 E 3rd St
Ste C735
Chattanooga, TN 37403
Phone (423) 778-9101

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1614 Gunbarrel Rd
#101
Chattanooga, TN 37421
Phone (423) 553-7600

979 E 3rd St
Ste C520
Chattanooga, TN 37403
Phone (423) 778-4465

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

2253 Chambliss Ave NW
Ste 301
Cleveland, TN 37311
Phone (423) 476-4466

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 6

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 7

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1902250137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST STE B-520",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032173",
            "telephone_number": "423-778-5661",
            "fax_number": "423-778-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST STE B-520",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032173",
            "telephone_number": "423-778-5661",
            "fax_number": "423-778-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLEY",
        "first_name": "JOSEPH",
        "middle_name": "RAYMOND",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "3881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.