Active NPI
Nia Malene Foderingham, MD
- Emergency Medicine Physician
- Chattanooga, TN
National Provider Identifier
1952580599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD0000042532
- Practice address
- 9029 Jenny Lynn Dr
Chattanooga, TN 37421-4595 - Phone
- (423) 499-6404
- Fax
- (423) 499-5998
- NPI assigned
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD0000042532 | TN | Primary |
Addresses
Primary practice location
9029 Jenny Lynn Dr
Chattanooga, TN 37421-4595
Mailing address
9029 Jenny Lynn Dr
Chattanooga, TN 37421-4595
Phone (423) 499-6404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000042532 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur County General Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Parsons, TN
- NPI 1104804566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1952580599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9029 JENNY LYNN DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214595",
"telephone_number": "423-499-6404",
"fax_number": "423-499-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9029 JENNY LYNN DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214595",
"telephone_number": "423-499-6404",
"fax_number": "423-499-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FODERINGHAM",
"first_name": "NIA",
"middle_name": "MALENE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD0000042532",
"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 Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.