Active NPI
David C. Redd, MD, P.C.
- Surgery Physician
- Chattanooga, TN
National Provider Identifier
1962822981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C70958
- Legal business name
- DAVID C. REDD, MD, P.C.
- Practice address
- 2205 McCallie Ave Ste 507
Chattanooga, TN 37404-3334 - Phone
- (423) 622-3191
- Fax
- (423) 622-3192
- NPI assigned
- Apr 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Candy E Redd
- Title
- Office Managaer
- Phone
- (423) 622-3191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C70958 | TN | Primary |
Addresses
Primary practice location
2205 McCallie Ave Ste 507
Chattanooga, TN 37404-3334
Mailing address
2205 McCallie Ave Ste 507
Chattanooga, TN 37404-3334
Phone (423) 622-3191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 N Market St
Ste 114
Chattanooga, TN 37405
Phone (423) 551-3400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Chattanooga, TN
- NPI 1669542809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397692800000",
"number": "1962822981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 MCCALLIE AVE STE 507",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043334",
"telephone_number": "423-622-3191",
"fax_number": "423-622-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 MCCALLIE AVE STE 507",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043334",
"telephone_number": "423-622-3191",
"fax_number": "423-622-3192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID C. REDD, MD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A",
"authorized_official_last_name": "REDD",
"authorized_official_first_name": "CANDY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGAER",
"authorized_official_telephone_number": "423-622-3191",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TN",
"license": "C70958",
"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 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.