Individual provider Active NPI

Mitzie D Perry, APRN

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1922296052
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12916 Issued in TN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071129000240 TN Practitioner - Nurse Practitioner 7618066689 Reassigns benefits to 1 organization

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
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

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

LicenseStateTypeSpecialty
12916TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Allergy and Asthma Care PLLC CurrentSince Apr 7, 2026 Accepting new patients
Cleveland Pediatrics,P.C. Current Accepting new patients
PSF PLLC Nurse Practitioner CurrentSince Apr 7, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.