Individual provider Active NPI

F Hall Reynolds, MD

  • Dermatology Physician
  • Chattanooga, TN
National Provider Identifier
1972689164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD0000012098 Issued in TN
Practice address
6141 Shallowford Road
Chattanooga, TN 37421
Phone
(423) 899-2700
Fax
(423) 899-2703
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD0000012098 TN Primary

Addresses

Primary practice location

6141 Shallowford Road
Chattanooga, TN 37421

Mailing address

6141 Shallowford Road
Chattanooga, TN 37421
Phone (423) 899-2700

Other identifiers 1

IdentifierTypeStateIssuer
0172799OtherTNBCBS

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
I20120222000758 TN Practitioner - Dermatology 1254599277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Tennessee, HSC, College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Skin and Cancer ClinicGroup PAC ID 9032386354, 13 clinicians

Practice addresses (Care Compare)

3891 Adkisson Dr NW
Cleveland, TN 37312-2819
Phone (423) 479-8648

6061 Shallowford Rd
Chattanooga, TN 37421-1688
Phone (423) 899-2700

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision113
Removal of tissue1-10
Removal of skin lesions1001
Removal of skin cancer94
Removal of nail tissue1-10
Skin biopsy449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000012098TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Skin & Cancer Clinic Dermatology CurrentSince May 1, 1997 Accepting new patients

Locations

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

6061 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 899-2700

3891 Adkisson Dr NW
Cleveland, TN 37312
Phone (423) 479-8648

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972689164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SHALLOWFORD ROAD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-899-2700",
            "fax_number": "423-899-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SHALLOWFORD ROAD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-899-2700",
            "fax_number": "423-899-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "F",
        "middle_name": "HALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD0000012098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0172799",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.