Active NPI
Michelle Yvonne Spencer, M.D.
- Neonatal-Perinatal Medicine Physician
- Chattanooga, TN
National Provider Identifier
1912345604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 59136
- Practice address
- 910 Blackford St
Chattanooga, TN 37403-1405 - Phone
- (423) 778-5255
- Fax
- (423) 778-8209
- NPI assigned
- Jun 5, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | TRN18828 | FL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 59136 | TN | Primary |
Addresses
Primary practice location
910 Blackford St
Chattanooga, TN 37403-1405
Mailing address
910 Blackford St
Chattanooga, TN 37403-1405
Phone (423) 778-5255
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erlanger Health | Current | Accepting new patients | |
| Erlanger Health | Pediatrics | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Pediatrics | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients |
Locations
910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Pediatrics
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1912345604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 BLACKFORD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031405",
"telephone_number": "423-778-5255",
"fax_number": "423-778-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 BLACKFORD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031405",
"telephone_number": "423-778-5255",
"fax_number": "423-778-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "MICHELLE",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "TRN18828",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TN",
"license": "59136",
"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 28, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.