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NPI 1891202941ActiveOrganization· General Practice· Chattanooga, TN

General Practice in Chattanooga, Tennessee, registered in NPPES in January 2018. The authorized official on file is Ashley Berry, Clinical Operation Director.

Overview

NPI1891202941
StatusActive
Entity typeOrganization
NPI issuedJan 10, 2018
Last updated in NPPESNov 17, 2022
Certified by providerNov 17, 2022

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X020673TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Chattanooga

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