East Brainerd Podiatry Center PLLC
NPI 1013675578ActiveOrganization· Podiatrist· Chattanooga, TN
Podiatrist in Chattanooga, Tennessee, registered in NPPES in December 2021. The authorized official on file is Reva Faye Smith, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013675578 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2021 |
| Last updated in NPPES | Dec 28, 2021 |
| Certified by provider | Dec 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
Other podiatrists in Chattanooga
- 1215166384
- 1417314477
- 1568526051
- 1780683136
- 1932118643
- 1376501221
- 1902843154
- 1093911422
- 1154609899
- 1154965051
- 1316969215
- 1538183371
All 20 podiatrists in Chattanooga · All podiatrists in Tennessee