Active NPI
Richard Franklin Mauroner, M.D.
- Psychiatry Physician
- Chattanooga, TN
National Provider Identifier
1992813976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 39384
- Practice address
- 7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802 - Phone
- (423) 648-9290
- Fax
- (423) 648-9291
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 39384 | TN | Primary |
Addresses
Primary practice location
7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802
Mailing address
7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802
Phone (423) 648-9290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4106723 | Other | TN | BLUE CROSS |
| 3334119 | Medicaid | TN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39384 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faraday Chattanooga PC | Psychiatry | Current | Accepting new patients |
| Columbia Medical Groupdaystar Inc | Past | Accepting new patients |
Locations
6031 Shallowford Rd
Ste 113
Chattanooga, TN 37421
Phone (423) 648-4181
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Chattanooga, TN
- NPI 1073165254
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, TN
- NPI 1417960733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1992813976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374210802",
"telephone_number": "423-648-9290",
"fax_number": "423-648-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374210802",
"telephone_number": "423-648-9290",
"fax_number": "423-648-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURONER",
"first_name": "RICHARD",
"middle_name": "FRANKLIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2022-03-02",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "39384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4106723",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3334119",
"state": "TN"
}
],
"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 Mar 2, 2022; 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.