Organization Active NPI

Sports Care of Chattanooga PLLC

  • Sports Medicine (Family Medicine) Physician
  • Chattanooga, TN
National Provider Identifier
1982690038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
SPORTS CARE OF CHATTANOOGA PLLC
Practice address
501 Houston St
Chattanooga, TN 37403-3409
Phone
(423) 425-4453
Fax
(423) 425-2266
NPI assigned
Sep 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David M Jenkinson, DONPI 1104812874
Title
Owner
Phone
(423) 425-4453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

501 Houston St
Chattanooga, TN 37403-3409

Mailing address

501 Houston St
Chattanooga, TN 37403-3409
Phone (423) 425-4453

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982690038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOUSTON ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033409",
            "telephone_number": "423-425-4453",
            "fax_number": "423-425-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOUSTON ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033409",
            "telephone_number": "423-425-4453",
            "fax_number": "423-425-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS CARE OF CHATTANOOGA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-425-4453",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.