Individual provider Active NPI

Jesse Joel Coleman, D.O.

  • Emergency Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1982884961
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05-48382 Issued in KS
Practice address
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone
(423) 698-6061
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO2162 TN
Emergency Medicine Physician 207P00000X 05-48382 KS Primary

Addresses

Primary practice location

2333 McCallie Ave
Chattanooga, TN 37404-3258

Mailing address

PO Box 634706
Cincinnati, OH 45263-4706
Phone (865) 539-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110601000875 TN Practitioner - Emergency Medicine 7719176601 Reassigns benefits to 3 organizations
I20240307002117 KS Practitioner - Emergency Medicine 7719176601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Practice addresses (Care Compare)

3251 N Rock Rd
Derby, KS 67037-3850
Phone (833) 345-7625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2162KSMDClinical Social Worker
05-48382KSMDEmergency Medicine Physician
DO2162TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 11, 2011 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Cep America - Kansas LLC Emergency Medicine Current Accepting new patients
Hutchinson Regional Medical Center, Inc. Emergency Medicine Current Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Apr 5, 2025 Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Apr 5, 2025 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Nov 11, 2019 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

Organizations & group practices 9

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 3

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1982884961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634706",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452634706",
            "telephone_number": "865-539-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043258",
            "telephone_number": "423-698-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JESSE",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "DO2162",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-48382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.