Jay M Philippose, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

37835 Issued in TN

Practice address

725 Glenwood Dr
Memorial Medical BLDG E Suite 488-E
Chattanooga, TN 37404-1163

Phone

(423) 697-0621

Fax

(423) 622-8716

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• J & a Enterprises Inc

  • Gastroenterology Physician
  • Chattanooga, TN
  • NPI 1295771095
  NPD (past) Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1992709364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR",
            "address_2": "MEMORIAL MEDICAL BLDG E SUITE 488-E",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041163",
            "telephone_number": "423-697-0621",
            "fax_number": "423-622-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR",
            "address_2": "MEMORIAL MEDICAL BLDG E SUITE 488-E",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041163",
            "telephone_number": "423-697-0621",
            "fax_number": "423-622-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPOSE",
        "first_name": "JAY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "37835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "37835",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Michelle Phifer, MS, RD, LDN
• Phileo Home Care, LLC
• Philip Bannor MD PLLC
• Philip W Smith, MD, Facs, PLLC
• Minu Philipose
• Alyssa Phillips
• Anthony Wade Phillips, DPH
• Charles Vance Phillips IV, LMT
• Christy Elizabeth Phillips, CNNP
• Danielle Lea Phillips, AGACNP

• Gastroenterology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.

Verify at the official NPI Registry.