Active NPI
Mitzie D Perry, APRN
- Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12916
- Practice address
- 1350 Mackey Branch Dr Ste 114
Chattanooga, TN 37421-3483 - Phone
- (800) 999-1249
- Fax
- (502) 371-6665
- NPI assigned
- Oct 15, 2007
- Last updated
- Apr 2, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12916 | TN | Primary |
Addresses
Primary practice location
1350 Mackey Branch Dr Ste 114
Chattanooga, TN 37421-3483
Mailing address
9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (800) 999-1249
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Mackey Branch Dr
Suite 114
Chattanooga, TN 37421-3483
Phone (800) 999-1249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12916 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Allergy and Asthma Care PLLC | Current | Accepting new patients | |
| Cleveland Pediatrics,P.C. | Current | Accepting new patients | |
| PSF PLLC | Nurse Practitioner | Current | Accepting new patients |
| Crossroads Urgent Care PLLC | Past | Accepting new patients |
Locations
9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585
1350 Mackey Branch Dr
Ste 114
Chattanooga, TN 37421
Phone (423) 468-3267
435 25th St NW
Cleveland, TN 37311
Phone (423) 479-9733
980 Highway 28
Ste 103
Jasper, TN 37347
Phone 42346832673696
Interoperability endpoints
- mitzieperrynp@direct.clevelandpediatrics.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Allergy & Asthma
- Allergy & Immunology Physician
- Louisville, KY
- NPI 1881785947
Nurse Practitioner, TN
-
- Pediatrics Physician
- Cleveland, TN
- NPI 1609046267
-
- Allergy & Immunology Physician
- Chattanooga, TN
- NPI 1396994802
-
dba Urgent Team
- Family Medicine Physician
- Chattanooga, TN
- NPI 1437194222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1922296052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 SHELBYVILLE RD STE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232992",
"telephone_number": "800-999-1249",
"fax_number": "502-371-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 MACKEY BRANCH DR STE 114",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213483",
"telephone_number": "800-999-1249",
"fax_number": "502-371-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MITZIE",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "12916",
"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 Apr 2, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.