Chattanooga Orthopaedic Group, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CHATTANOOGA ORTHOPAEDIC GROUP, PC

Doing business as

Center for Sports Medicine and Orthopaedics

Practice address

24 Mountain View Dr
Suite a
Kimball, TN 37347-5477

Phone

(423) 624-2696

NPI assigned

Nov 4, 2015

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky Farmer

Title

Ceo

Phone

(423) 624-2696

Specialties & licenses 1

Addresses

Other names 1

• CENTER FOR SPORTS MEDICINE AND ORTHOPAEDICS Doing business as

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1932572575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-624-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MOUNTAIN VIEW DR",
            "address_2": "SUITE A",
            "city": "KIMBALL",
            "state": "TN",
            "postal_code": "373475477",
            "telephone_number": "423-624-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA ORTHOPAEDIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-624-2696"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR SPORTS MEDICINE AND ORTHOPAEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Ray Blevins Jr., DPT
• Karin B Boeck, M.D.
• Blair Alysse Bryant, PHARMD
• Rachel Carter, PT
• Jason Ernest Chastain, DC
• Kelsey E Dent, NP
• Gary Newton Elledge, MSN, NP-C
• Deborah Wyatt Gaddis, NP-C
• Kacie McClendon Hayes, DPT
• Matthew Aaron Holt, PHARM.D.

• Orthopaedic Surgery Physician in Kimball, TN
• Providers in Kimball, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.