Individual provider Active NPI

Jennifer R. Spry, PA-C

  • Medical Physician Assistant
  • Chattanooga,, TN
National Provider Identifier
1992056782
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2216 Issued in TN
Practice address
2525 Desales Avenue
Chattanooga,, TN 37404
Phone
(931) 607-1981
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2216 TN Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

2525 Desales Avenue
Chattanooga,, TN 37404

Mailing address

3771 Hearthstone Cir
Chattanooga, TN 37415-3593
Phone (931) 607-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130205000043 TN Practitioner - Physician Assistant 4082868807 Reassigns benefits to 3 organizations
I20210323002398 GA Practitioner - Physician Assistant 4082868807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2011 Church St
Medical Plaza 1 Lower Level
Nashville, TN 37236-0001
Phone (615) 284-7785

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc CurrentSince Sep 1, 2024 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Sep 1, 2024 Accepting new patients
Tennessee Oncology,PLLC CurrentSince May 8, 2023 Accepting new patients
Tennessee Oncology PLLC CurrentSince Feb 23, 2023 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Aug 3, 2015 Accepting new patients
Hargrave Emergency Physicians LLC Past Accepting new patients
Emergency Physicians PC Past Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients
Oglethorpe Physician Services, LLC Past Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

4750 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8050

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

605 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 629-6077

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

725 Glenwood Dr
Ste E487
Chattanooga, TN 37404
Phone (423) 697-0014

1635 Gunbarrel Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 778-8525

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

4488 Carothers Pkwy
Ste 310
Franklin, TN 37067
Phone (615) 986-4330

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • Direct secure messaging: jspry101705@direct.erlanger.org

Organizations & group practices 10

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1992056782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 HEARTHSTONE CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153593",
            "telephone_number": "931-607-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVENUE",
            "city": "CHATTANOOGA,",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "931-607-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRY",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2216",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga,, TN

Sources for this page

Verify at the official NPI Registry.