Individual provider Active NPI

Caroline Hawes, MD

  • Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1992225486
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
65849 Issued in TN
Practice address
1360 Mackey Branch Dr
Chattanooga, TN 37421-3225
Phone
(423) 443-3336
Fax
(423) 464-7510
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X
Pediatrics Physician 208000000X 65849 TN Primary

Addresses

Primary practice location

1360 Mackey Branch Dr
Chattanooga, TN 37421-3225

Mailing address

505 S Willow St
Chattanooga, TN 37404-3135
Phone (281) 703-2153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65849TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Youth Behavioral Health CurrentSince Oct 2, 2022 Accepting new patients

Locations

1360 Mackey Branch Dr
Chattanooga, TN 37421
Phone (423) 443-3336

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.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1992225486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S WILLOW ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043135",
            "telephone_number": "281-703-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MACKEY BRANCH DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213225",
            "telephone_number": "423-443-3336",
            "fax_number": "423-464-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWES",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "65849",
            "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 Sep 29, 2022; 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.