ORANGE GROVE CENTER, INC. (NPI# 1073668653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073668653 |
| Entity Type | Organization |
| Organization Name | ORANGE GROVE CENTER, INC. |
| Other Organization Name | ORANGE GROVE CENTER PRIMARY HEALTH CARE SERVICES |
| Practice Address |
615 Derby St Chattanooga TN 37404-1632 |
| Mailing Address |
615 Derby St Attention: Health Informatics & Reimbursement Chattanooga TN 37404-1632 |
| Practice Telephone | 4234932905 |
| Practice Fax Number | 4234932950 |
| Mailing Telephone | 4234932906 |
| Mailing Fax Number | 4234932950 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MR. WINSTON K HAUTH (CEO) |
| Authorized Official Telephone | 4234932910 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORANGE GROVE CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
8686 | TN | Dental Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
13774 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
26723 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | CH3763 | 01 |
| TN | BCBS ID | 3070512 | 01 |
| TN | 3399927 | 05 |
| Other Name | Type Code |
|---|---|
| Orange Grove Center Primary Health Care Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760696322 | Orange Grove Center, Inc. | Intermediate Care Facility, Mentally Retarded | 916a Glenwood Dr, Chattanooga, TN 37406-3328 | 2007-05-10 |
| 1114294600 | Orange Grove Center, Inc. | Day Training, Developmentally Disabled Services | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-11-28 |
| Street Address |
615 DERBY ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696417 | Laura L Porter | Nurse Practitioner | 615 Derby St, Attention: Hcs Hi&r, Chattanooga, TN 37404-1632 | 2005-08-12 |
| 1710480876 | Nellie Patricia Gannon | Dentist | 615 Derby St, Chattanooga, TN 37404-1632 | 2018-03-15 |
| 1326434663 | Amy Jo Schamens | Behavioral Analyst | 615 Derby St, Chattanooga, TN 37404-1632 | 2015-04-14 |
| 1164838058 | Ann Graham Parker | Psychologist | 615 Derby St, Chattanooga, TN 37404-1632 | 2014-07-11 |
| 1356694921 | Orange Grove Center, Inc Brown Chapel | Intermediate Care Facility, Mentally Retarded | 615 Derby St, Chattanooga, TN 37404-1632 | 2012-10-19 |
| 1770836330 | Orange Grove Center, Inc 5345 Mountain Creek | Intermediate Care Facility, Mentally Retarded | 615 Derby St, Chattanooga, TN 37404-1632 | 2012-10-19 |
| 1114294600 | Orange Grove Center, Inc. | Day Training, Developmentally Disabled Services | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-11-28 |
| 1225315161 | Orange Grove Center, Inc 7445 Pinewood Dr | Intermediate Care Facility, Mentally Retarded | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-11-07 |
| 1952688897 | Orange Grove Center, Inc 7447 Pinewood Dr | Intermediate Care Facility, Mentally Retarded | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-11-07 |
| 1841575180 | Donna Eileen Leath | Occupational Therapy Assistant | 615 Derby St, Chattanooga, TN 37404-1632 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487682746 | Neal Adams Robinson | Family Medicine | 2425 Cone Flower Trl, Chattanooga, TN 37421-1888 | 2006-06-28 |
| 1730791963 | Tennessee Center for Regenerative Medicine PC | Family Medicine | 1334 Mackey Branch Dr Ste 104, Chattanooga, TN 37421-3471 | 2020-08-19 |
| 1457834004 | Wellness Concepts, P.C. | Family Medicine | 6209 Lee Hwy Ste 101, Chattanooga, TN 37421-6516 | 2018-09-10 |
| 1629110457 | Gary P Gesualdi | Family Medicine | 2229 Olan Mills Dr, Chattanooga, TN 37421 | 2007-02-12 |
| 1811908718 | Joe Michael Mazzolini | Family Medicine | 1508 Tombras Ave, Chattanooga, TN 37412-2720 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902177 | R&m Consultants LLC | Family Medicine | 208 N Roan St, Johnson City, TN 37601-4735 | 2020-04-27 |
| 1124656616 | Carebridge Medical Group, PC | Family Medicine | 926 Main St Ste B, Nashville, TN 37206-3614 | 2020-03-30 |
| 1104456052 | Briana Arnett | Family Medicine | 2308 Memorial Blvd Ste D, Springfield, TN 37172-3929 | 2020-01-20 |
| 1326552225 | Tiffany Danielle Turner | Family Medicine | 1045 Horse Head Lane, Pikeville, TN 37367 | 2017-11-30 |
| 1871928556 | Shirley Gravenor | Family Medicine | 2636 Park Creek Dr, Germantown, TN 38139-6556 | 2013-09-12 |
| 1952733396 | Unity Health Home, Inc | Family Medicine | 201 Jordan Rd, Suite 200, Franklin, TN 37067-4495 | 2013-08-08 |
| 1447503842 | Charlene Crowder Matthews | Family Medicine | 157 Highway 25 E, Newport, TN 37821-8157 | 2012-10-23 |
| 1295007730 | Anthony Glen Justice | Family Medicine | 11911 Kingston Pike, Suite 201, Knoxville, TN 37934-4602 | 2012-01-30 |
| 1386878957 | Holly Spurlock Blankenship | Family Medicine | 370 Doolittle Rd Ste 1, Woodbury, TN 37190-1129 | 2009-05-11 |
| 1447454525 | Gay Kirchner Battle | Family Medicine | 2309 Granite Dr, Johnson City, TN 37604-2172 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| 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.