Organization Active NPI

Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1922053545
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEMORIAL HEALTH PARTNERS FOUNDATION, INC
Practice address
5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5310
Phone
(423) 495-6870
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Mr. Maelor G Hughes
Title
President
Phone
(423) 495-6870

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5310

Mailing address

PO Box 749748
Atlanta, GA 30374-9748
Phone (423) 495-8659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, WI, IL, IN, AL, MI, NY, VA, PA, OK, OH, CO, MO, TX, FL16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
O20040116000823 TN Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 592 practitioners
O20040423000212 GA Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 238 practitioners
Practice locations: Ringgold, GA; Trenton, GA; La Fayette, GA; Fort Oglethorpe, GA; Chickamauga, GA
O20260527003911 WI Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI
O20260528003404 IL Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Western Springs, IL
O20260529002128 IN Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Syracuse, IN; Zionsville, IN
O20260529003392 AL Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL
O20260529003435 MI Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: East Grand Rapids, MI
O20260601002001 NY Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20260602002682 VA Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Aldie, VA; MC Lean, VA
O20260603003659 PA Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Baden, PA
O20260604003061 OK Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK
O20260605003434 OH Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Lakeside, OH
O20260610001170 CO Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO
O20260610001451 MO Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 3 practitioners
Practice locations: Chesterfield, MO; Columbia, MO; Kirkwood, MO; Olivette, MO; Saint Louis, MO; Wildwood, MO
O20260622002208 TX Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX; Houston, TX; Dallas, TX
O20260623004617 FL Part B Supplier - Clinic/Group Practice 8022919570 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL; Parkland, FL; Miami, FL; Clearwater, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 54)

608 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

613 E Villanow St
La Fayette, GA 30728
Phone (706) 638-0278

4700 Battlefield Pkwy
Ste 340
Ringgold, GA 30736
Phone (423) 622-2494

4700 Battlefield Pkwy
Ste 36
Ringgold, GA 30736

4700 Battlefield Pkwy
Ste 220
Ringgold, GA 30736
Phone (423) 899-0464

4700 Battlefield Pkwy
Ste 360
Ringgold, GA 30736
Phone (706) 841-0050

620 E 11th St
Ste 124
Chattanooga, TN 37403

725 Glenwood Dr
Ste E882
Chattanooga, TN 37404
Phone (423) 698-2229

605 Glenwood Dr
Ste 307
Chattanooga, TN 37404

605 Glenwood Dr
Ste 300
Chattanooga, TN 37404
Phone (423) 495-2620

302 E Main St Ste 200
Chattanooga, TN 37408

725 Glenwood Dr
Ste 889
Chattanooga, TN 37404

725 Glenwood Dr
Ste W550
Chattanooga, TN 37404

208 Minor St
Chattanooga, TN 37405
Phone (423) 756-1506

725 Glenwood Dr
Ste 783
Chattanooga, TN 37404

1949 Gunbarrel Rd
Ste 285
Chattanooga, TN 37421

725 Glenwood Dr
Ste E788
Chattanooga, TN 37404
Phone (423) 495-3940

721 Glenwood Dr
Ste W550
Chattanooga, TN 37404
Phone (423) 698-8692

725 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 503-7786

320 E Main St
Ste 200
Chattanooga, TN 37408
Phone (423) 643-2246

2341 McCallie Ave
Ste 406
Chattanooga, TN 37404
Phone (423) 648-8204

725 Glenwood Dr
Ste 786
Chattanooga, TN 37404

721 Glenwood Dr
Ste 550
Chattanooga, TN 37404

725 Glenwood Dr
Ste E786
Chattanooga, TN 37404
Phone (423) 682-8150

725 Glenwood Dr
Ste 790
Chattanooga, TN 37404
Phone (423) 206-4140

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHI Memorial Horton Family Practice Associates-DaytonDayton, TN, CCN 883949 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Mar 21, 2002
Mar 21, 2002
CHI Memorial Family Practice Associates - Spring CitySpring City, TN, CCN 883948 Rural health clinic Operational/Managerial Control (100%) Mar 21, 2002
CHI Memorial Family Practice Associates - LafayetteLa Fayette, GA, CCN 118921 Rural health clinic Operational/Managerial Control (100%) Mar 21, 2002

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 707

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 707

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1922053545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749748",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749748",
            "telephone_number": "423-495-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BRAINERD RD",
            "address_2": "SUITE 500",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310",
            "telephone_number": "423-495-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTH PARTNERS FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MAELOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-495-6870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.