Scenic City Neurotherapy and Ketamine Center LLC
NPI 1366077539ActiveOrganization· Nurse Anesthetist, Certified Registered· Chattanooga, TN
Nurse Anesthetist, Certified Registered in Chattanooga, Tennessee, registered in NPPES in March 2020. The authorized official on file is Charles Brian Miller, CRNA, Cmo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366077539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2020 |
| Last updated in NPPES | Nov 29, 2023 |
| Certified by provider | Jul 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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