Individual provider Active NPI

Julie C Munson-Jackson, MD

  • Family Medicine Physician
  • Ooltewah, TN
National Provider Identifier
1952328874
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000039783 Issued in TN
Practice address
6401 Mountain View Road
Suite 109
Ooltewah, TN 37363-6685
Phone
(423) 495-5951
Fax
(423) 495-5999
NPI assigned
Jul 16, 2006
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000039783 TN Primary

Addresses

Primary practice location

6401 Mountain View Road
Suite 109
Ooltewah, TN 37363-6685

Mailing address

6401 Mountain View Road
Suite 109
Ooltewah, TN 37363-6685
Phone (423) 495-5951

Other identifiers 1

IdentifierTypeStateIssuer
03-0600637OtherTNTAX ID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000672 TN Practitioner - Family PracticePractitioner - Addiction MedicinePractitioner - Preventive Medicine 4486656691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000039783TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Family Medicine Current Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine CurrentSince Jan 13, 2024 Accepting new patients
Restoration Recovery, PLLC CurrentSince Jul 27, 2023 Accepting new patients
Memorial Health Partners Foundation, Inc Family Medicine CurrentSince Jan 13, 2024 Accepting new patients
Council for Alcohol and Drug Abuse Services, Inc. Past Accepting new patients
Focus Healthcare of Tennessee Past Accepting new patients
Chattanooga Skin & Cancer Clinic Past Accepting new patients
Birthcare & Womens Health PastSince Jul 27, 2023 Accepting new patients

Locations

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

6141 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 498-2000

6141 Shallowford Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 498-2000

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

2130 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 498-2000

6401 Mountain View Rd
Ste 109
Ooltewah, TN 37363
Phone (423) 495-5951

Interoperability endpoints

  • Direct secure messaging: juliemunson-jackson@tnmhpf.allscriptsdirect.net

Organizations & group practices 8

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1952328874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 MOUNTAIN VIEW ROAD",
            "address_2": "SUITE 109",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636685",
            "telephone_number": "423-495-5951",
            "fax_number": "423-495-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 MOUNTAIN VIEW ROAD",
            "address_2": "SUITE 109",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636685",
            "telephone_number": "423-495-5951",
            "fax_number": "423-495-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON-JACKSON",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000039783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "03-0600637",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.