UNIVERSITY OF TENNESSEE


Address: 615 Mccallie Ave, Chattanooga, TN 37403-2504
Phone: 4234255637

UNIVERSITY OF TENNESSEE (NPI# 1376910653) 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) 1376910653
Entity Type Organization
Organization Name UNIVERSITY OF TENNESSEE
Other Organization Name UTC SPORTS MEDICINE
Practice Address 615 Mccallie Ave
Chattanooga
TN 37403-2504
Mailing Address Po Box 650850
Dallas
TX 75265-0850
Practice Telephone 4234255637
Practice Fax Number 9723673451
Mailing Telephone 8005559073
Mailing Fax Number 9723673452
Enumeration Date 2015-08-21
Last Update Date 2015-08-21
Authorized Official Name MOUZON BASS III (AGENT)
Authorized Official Telephone 9723674845
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
UTC Sports Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902278179 University of Tennessee Anaplastologist 875 Union Ave., Rooms S510b, Memphis, TN 38163-0001 2015-10-27
1740577428 University of Tennessee Student in an Organized Health Care Education/Training Program 62 N Main St, Memphis, TN 38103 2011-07-01
1366756082 University of Tennessee Clinical Nurse Specialist 220 Langland Street, Knoxville, TN 37915 2010-08-05
1033345541 University of Tennessee Special Hospital 60 Harbor Town Sq, Memphis, TN 38103-8850 2009-06-10
1518037183 University of Tennessee Medical Genetics, Ph.D. Medical Genetics 1930 Alcoa Hwy Ste 435, Ut Genetics Center, Knoxville, TN 37920-1520 2006-11-09
1427064880 University of Tennessee Clinic/Center 711 Jefferson Avenue, Memphis, TN 38105-5003 2006-07-31
1386625846 University of Tennessee Audiologist 1600 Peyton Manning Pass, Knoxville, TN 37996-0001 2005-11-10
1780686170 University of Tennessee Family Medicine 1301 Primacy Pkwy, Memphis, TN 38119-0213 2005-08-15
1912556895 University of Tennessee Dentist 848 Adams Ave., Suite 101, Memphis, TN 38103-2816 2019-09-04
1235666793 University of Tennessee General Acute Care Hospital 920 Madison Ave, Suite 447, Memphis, TN 38103-3438 2017-05-16

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities UNIVERSITY OF TENNESSEE 304 Administration Bldg, Martin, TN 38238-0001
System for Award Management (SAM) Entities UNIVERSITY OF TENNESSEE AT CHATTANOOGA 615 Mccallie Ave, Chattanooga, TN 37403-2504
System for Award Management (SAM) Entities UNIVERSITY OF TENNESSEE BUSINESS AFFAIRS 116 Administration Bldg, Martin, TN 38238-0001
System for Award Management (SAM) Entities UNIVERSITY OF TENNESSEE INSTITUTE OF PUBLIC SERVICE/TENNESSEE LANGUAGE CENTER 220 French Landing Dr Ste 1b, Nashville, TN 37243-1002
System for Award Management (SAM) Entities UNIVERSITY OF TENNESSEE RESEARCH FOUNDATION 600 Henley St Ste 211, Knoxville, TN 37996-0001

Office Location

Street Address 615 MCCALLIE AVE
City CHATTANOOGA
State TN
Zip Code 37403-2504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639106362 Gary Blaine Wilkerson Specialist/Technologist 615 Mccallie Ave, Department 6606, Chattanooga, TN 37403-2504 2006-06-27
1619587581 Miller Anne Earhart Nurse Practitioner 615 Mccallie Ave, Chattanooga, TN 37403-2504 2020-08-05
1851918528 Sydne Stepaniuk Specialist/Technologist 615 Mccallie Ave, Chattanooga, TN 37403-2504 2020-06-29
1619594314 David May Specialist/Technologist 615 Mccallie Ave, Chattanooga, TN 37403-2504 2020-06-29
1033771613 Elisabeth Kelley Specialist/Technologist 615 Mccallie Ave, Chattanooga, TN 37403-2504 2019-07-03
1700448339 David Benjamin Eldridge Specialist/Technologist 615 Mccallie Ave, Chattanooga, TN 37403-2504 2019-07-03
1568024149 Deborah Kostrub Specialist/Technologist 615 Mccallie Ave, Chattanooga, TN 37403-2504 2019-07-03
1629630124 Mark T Carden Specialist/Technologist 615 Mccallie Ave, Chattanooga, TN 37403-2504 2019-07-03
1396307989 Bry Alexi-ife Edwards Specialist/Technologist 615 Mccallie Ave, Chattanooga, TN 37403-2504 2019-07-03
1366004038 Jeremy Page Specialist/Technologist 615 Mccallie Ave, Chattanooga, TN 37403-2504 2019-07-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033771332 Jaimie Mills Specialist/Technologist 103 Metropolitan Building, Chattanooga, TN 37403 2019-07-08
1972092849 Joshua Dale Gebhardt Marriage & Family Therapist 1024 East M L King Blvd, Chattanooga, TN 37403 2018-05-07
1528580750 Klifford Hawkins Physical Therapist 1100 E 3rd St Ste G103, Chattanooga, TN 37403 2017-07-10
1861921470 Jonathan Everett Burden Student in an Organized Health Care Education/Training Program 960 E 3rd St Ste 104, Chattanooga, TN 37403 2017-06-07
1992167092 Majel Victoria Purvis Miles Student in an Organized Health Care Education/Training Program 979 E 3rd St Ste 401, Chattanooga, TN 37403 2016-03-28
1972942902 Danielle Nessly Nurse Practitioner 730 East 11th Street, Chattanooga, TN 37403 2013-06-24
1023453271 Nathan Claydon Internal Medicine 960 East 3rd St, Suite 104, Chattanooga, TN 37403 2013-05-01
1336482603 Veronica Patterson Zachry Student in an Organized Health Care Education/Training Program 975 E. 3rd Street, Chattanooga, TN 37403 2013-04-04
1639420417 Ctr. for Individual & Family Effectiveness Community/Behavioral Health 310 E. 8th St., Ste. C, Chattanooga, TN 37403 2012-09-20
1063773521 Shelley L Murphy Emergency Medicine 1018 Blackford Street, Chattanooga, TN 37403 2012-05-31
Find all providers in zip 37403

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
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
1023141025 Glenn A. Beasley Family Medicine 2158 Northgate Park Ln, Suite 104, Chattanooga, TN 37415-6957 2007-03-13
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
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Competitor

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City CHATTANOOGA
Zip Code 37403

Improve Information

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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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