Orange Grove Center, Inc.
NPI 1073668653ActiveOrganization· Family Medicine, Adult Medicine· Chattanooga, TN
Family Medicine, Adult Medicine in Chattanooga, Tennessee, registered in NPPES in January 2007, part of Orange Grove Center, Inc. The authorized official on file is Tera Roberts, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073668653 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Orange Grove Center, Inc. |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Mar 4, 2024 |
| Certified by provider | Feb 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | 26723 | TN |
| Dentist, General Practice | 1223G0001X | 8686 | TN |
| Nurse Practitioner, Primary Care | 363LP2300X | 13774 | TN |
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) |
|---|
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