DR. GLENN A. BEASLEY


Address: 2158 Northgate Park Ln, Suite 104, Chattanooga, TN 37415-6957
Phone: 4238702030

DR. GLENN A. BEASLEY (NPI# 1023141025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023141025
Entity Type Individual
Full Name DR. GLENN A. BEASLEY
Credential M.D.
Practice Address 2158 Northgate Park Ln
Suite 104
Chattanooga
TN 37415-6957
Practice Telephone 4238702030
Practice Fax Number 4238756405
Mailing Telephone 4238702030
Mailing Fax Number 4238756405
Enumeration Date 2007-03-13
Last Update Date 2008-03-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
MD0000020673 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3053865 05

Office Location

Street Address 2158 NORTHGATE PARK LN
SUITE 104
City CHATTANOOGA
State TN
Zip Code 37415-6957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528063211 John H. Chrostowski Orthopaedic Surgery 2158 Northgate Park Ln, Suite 100, Chattanooga, TN 37415-6911 2005-06-17
1003271354 Innovative Women's Health Specialists Obstetrics & Gynecology 2158 Northgate Park Ln, Suite 300, Chattanooga, TN 37415-6911 2015-12-30
1003280462 John Chrostowski, Md,pllc Orthopaedic Surgery 2158 Northgate Park Ln, Suite 100, Chattanooga, TN 37415-6911 2015-11-23
1962662791 Urgent & General Medicine Ministry, PC General Practice 2158 Northgate Park Ln, Suite 104, Chattanooga, TN 37415-6957 2008-06-16
1952569444 Julie Moran Nurse Practitioner 2158 Northgate Park Ln, 104, Chattanooga, TN 37415-6957 2008-05-30
1790701936 Shevonda T Sherrow Obstetrics & Gynecology 2158 Northgate Park Ln, Suite 300, Chattanooga, TN 37415-6911 2006-07-14
1982679296 Chattanooga Vision Center, Plc Optometrist 2158 Northgate Park Ln, Suite 302, Chattanooga, TN 37415-6957 2006-02-21
1326012683 Frank B Calhoun Emergency Medicine 2158 Northgate Park Ln, Ste 104, Chattanooga, TN 37415-6957 2006-02-14
1003815580 Thomas M Reynolds Ophthalmology 2158 Northgate Park Ln, Suite 302, Chattanooga, TN 37415-6957 2005-07-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760940472 Christina Goosey Physical Therapist 2158 Northgate Park, #200, Chattanooga, TN 37415 2019-03-12
1073046561 Cynthia Groves Student in an Organized Health Care Education/Training Program 706 Tiger Lily Trl, Chattanooga, TN 37415 2017-04-11
1811358781 Bisscom Consulting and Services Social Worker 2021 Ashmore Ave, Chattanooga, TN 37415 2016-03-18
1700241783 Megan D. Vonwerssowetz Nurse Practitioner 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 2015-12-17
1457748501 Jon Caleb Hildebrand Ophthalmology 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 2015-04-15
1699044487 Constance Chamberlain Wise Dentist 4300 Dayton Blvd, Chattanooga, TN 37415 2011-12-22
1033403969 Stephen Denney Muller Counselor 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 2011-06-08
1619115938 Connie Elizabeth Fesmire Registered Nurse 3119 Reflecting Drive, Chattanooga, TN 37415 2009-01-23
1205972395 Ella Grace Ford Social Worker 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 2007-01-29
1639224249 Chattanooga Hamilton County Hospital Authority General Acute Care Hospital 632 Morrison Spring Road, Chattanooga, TN 37415 2007-01-24
Find all providers in zip 37415

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770915928 Chattanooga Sports Institute Family Medicine 4206 N Access Rd, Chattanooga, TN 37415-3801 2013-07-30
1265687917 Chattanooga Family and Sports Medical Center, Pllc Family Medicine 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 2008-11-21
1003881061 Bill Moore Smith Jr. Family Medicine 632 Morrison Springs Road, Suite #202, Chattanooga, TN 37415 2006-02-22
1982690038 Sports Care of Chattanooga Pllc Family Medicine 501 Houston St, Chattanooga, TN 37403-3409 2005-09-23
1376910653 University of Tennessee Family Medicine 615 Mccallie Ave, Chattanooga, TN 37403-2504 2015-08-21
1194090647 Chattanooga Hamilton County Hospital Authority Family Medicine 1100 E 3rd St, Suite 102, Chattanooga, TN 37403-2241 2012-03-16
1447542881 Bradford Lyle Mitchell Family Medicine 2415 Mccallie Avenue, Chattanooga, TN 37404 2011-05-04
1780992214 Chattanooga Hamilton County Hospital Authority Family Medicine 1200 Pineville Rd, Chattanooga, TN 37405-2645 2010-09-17
1750480174 Jason Andrew Robertson Family Medicine 2415 Mccallie Ave, Chattanooga, TN 37404-3322 2006-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063936235 Milligan College Family Medicine One Blowers Blvd., Athletics, Milligan College, TN 37682 2017-07-31
1205379989 Elite Sports Medicine and Orthopaedic Center, Plc Family Medicine 356 24th Ave North, Nashville, TN 37203-1519 2016-11-29
1740527753 Amg-hillside LLC Family Medicine 200 Hillside Dr, Pulaski, TN 38478-4566 2013-01-10
1841485018 Crystal Shanelle Dyer Family Medicine 850 W Main St Ste 2, Rogersville, TN 37857-3663 2007-09-11
1053326876 Laura N. Lendermon Family Medicine 9950 Crooked Creek Drive, Collierville, TN 38017 2006-07-30
1528097771 Chris A Klenck Family Medicine 1551 Lake Loudon Blvd, Knoxville, TN 37996-2674 2006-07-01
1700860988 James Norris Johnson Family Medicine 28 White Bridge Rd Ste 207, Nashville, TN 37205-1451 2005-12-01
1568905248 Elite Sports Medicine and Orthopaedic Center, Plc Family Medicine 107 Glidepath Way, Lebanon, TN 37090-4133 2016-11-29
1720466741 David Wallace Neblett Family Medicine 3601 The Vanderbilt Clinic, Nashville, TN 37232-9760 2015-05-11
1700274487 Plateau Medical Specialist Pllc Family Medicine 57 W Adams St, Crossville, TN 38555-4836 2015-01-02
Find all providers with the same taxonomy

Competitor

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City CHATTANOOGA
Zip Code 37415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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