| Chattanooga Family And Sports Medical Center, Pllc | |
|
6035 Shallowford Rd Suite 101 Chattanooga TN 37421-1688 | |
| (423) 499-0003 | |
| Not Available |
| Full Name | Chattanooga Family And Sports Medical Center, Pllc |
|---|---|
| Speciality | Chiropractor |
| Location | 6035 Shallowford Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jeffery G Hall (MEMBER) |
| Authorized Official Contact | 4234990003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chattanooga Family And Sports Medical Center, Pllc 6035 Shallowford Rd Suite 101 Chattanooga TN 37421-1688 Ph: (423) 499-0003 | Chattanooga Family And Sports Medical Center, Pllc 6035 Shallowford Rd Suite 101 Chattanooga TN 37421-1688 Ph: (423) 499-0003 |
| NPI Number | 1265687917 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/24/2008 |
| Medicare PECOS PAC ID | 7214094564 |
|---|---|
| Medicare Enrollment ID | O20090331000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265687917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 1241 (Tennessee) | Secondary |
| 111NN1001X | Chiropractor - Nutrition | 1789 (Tennessee) | Primary |
| Provider Name | Jeff G Hall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932140043 PECOS PAC ID: 7911989777 Enrollment ID: I20040608000887 |
| Provider Name | Randy R Heisser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689620999 PECOS PAC ID: 4284672965 Enrollment ID: I20050422000305 |
| Provider Name | Stacy K Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275969081 PECOS PAC ID: 0042436966 Enrollment ID: I20140729001371 |
| Provider Name | Connie J Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932502218 PECOS PAC ID: 4688999105 Enrollment ID: I20150204001250 |
| Provider Name | Ethan Kellum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396907705 PECOS PAC ID: 5092958199 Enrollment ID: I20161205000206 |
| Provider Name | Elijah Levi Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225712748 PECOS PAC ID: 9032642806 Enrollment ID: I20241031002986 |
Terry W. Smith M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Vance Rd, Suite 3, Chattanooga, TN 37421 Phone: 423-551-3940 Fax: 423-305-7981 | |
Liberty Healthcare Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421 Phone: 423-498-5839 | |
Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 Phone: 423-933-1672 Fax: 423-933-1675 | |
Dc Ventures Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-541-9455 | |
Beacon Health Alliance Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 201, Chattanooga, TN 37415 Phone: 423-877-4556 Fax: 423-877-9218 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6413 Lee Hwy Ste 107, Chattanooga, TN 37421 Phone: 000-000-0000 Fax: 000-000-0000 | |
The Weight Loss Center Of Chattanooga Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7405 Shallowford Rd Ste 320, Chattanooga, TN 37421 Phone: 706-537-7499 |