Active NPI
Carolyn C Brannon, MD
- Pediatrics Physician
- Hixson, TN
National Provider Identifier
1982669842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36404
- Practice address
- 2101 Inland Cove Dr
Hixson, TN 37343-6117 - Phone
- (423) 240-1451
- NPI assigned
- Apr 20, 2006
- Last updated
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36404 | TN | Primary |
Addresses
Primary practice location
2101 Inland Cove Dr
Hixson, TN 37343-6117
Mailing address
2101 Inland Cove Dr
Hixson, TN 37343-6117
Phone (423) 240-1451
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Medical Group, PC | Pediatrics | Current | Accepting new patients |
Locations
1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904
1039 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 874-0125
4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280
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, 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": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1982669842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 INLAND COVE DR",
"city": "HIXSON",
"state": "TN",
"postal_code": "373436117",
"telephone_number": "423-240-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 INLAND COVE DR",
"city": "HIXSON",
"state": "TN",
"postal_code": "373436117",
"telephone_number": "423-240-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNON",
"first_name": "CAROLYN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "36404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.