ID GROUP, PLLC (NPI# 1891884292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891884292 |
| Entity Type | Organization |
| Organization Name | ID GROUP, PLLC |
| Other Organization Name | THE ID GROUP, PLLC |
| Practice Address |
1000 East Third Street Suite 302 Chattanooga TN 37403-4115 |
| Practice Telephone | 4236645165 |
| Practice Fax Number | 4236645164 |
| Mailing Telephone | 4236645165 |
| Mailing Fax Number | 4236645164 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-12-30 |
| Authorized Official Name | DR. STEPHEN S HAWKINS (MD) |
| Authorized Official Telephone | 4236645165 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | TN | Other Service Providers |
| Other Name | Type Code |
|---|---|
| The ID Group, PLLC | Other Name - Individual/Organization |
| Street Address |
1000 EAST THIRD STREET SUITE 302 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021340 | James Michael Sizemore Jr. | Internal Medicine | 1000 East Third Street, Suite 302, Chattanooga, TN 37403-4115 | 2005-05-23 |
| 1457368524 | Chattanooga Cares, Inc. | Family Medicine | 1000 East Third Street, Suite 300, Chattanooga, TN 37403-2153 | 2006-08-02 |
| 1841253754 | Stephen Smith Hawkins | Internal Medicine | 1000 East Third Street, Suite 302, Chattanooga, TN 37403-4115 | 2006-04-11 |
| 1184687378 | Adam James Soufleris | Internal Medicine | 1000 East Third Street, Suite 302, Chattanooga, TN 37403-4115 | 2006-04-09 |
| 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 Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104311943 | I Am Tiara Mitchell | Specialist | 3913 Brainerd Rd, Chattanooga, TN 37411-3733 | 2018-06-25 |
| 1285048900 | Embryo Services LLC | Specialist | 7407 Ziegler Rd, Suite B, Chattanooga, TN 37421-3157 | 2014-06-20 |
| 1336560812 | James Edward Mckinney | Specialist | 13 Fairhills Dr, Chattanooga, TN 37405-4324 | 2013-12-30 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1467779652 | Eva J Goldyn | Specialist | 931 Spring Creek Rd, Suite 101, Chattanooga, TN 37412-3959 | 2010-04-27 |
| 1649503681 | Johnny D. Patmon | Specialist | 3002 Wheeler Ave, Chattanooga, TN 37406-3945 | 2009-09-09 |
| 1225282445 | Catherine Ann Thomas | Specialist | 6201 Lee Hwy Ste A, Chattanooga, TN 37421-0306 | 2008-11-14 |
| 1790979177 | Plaza Orthopaedics | Specialist | 2339 Mccallie Ave Ste 201, Chattanooga, TN 37404-3208 | 2007-08-29 |
| 1467651455 | Jitendra G. Gandhi | Specialist | 7425 Ziegler Rd Ste 109, Chattanooga, TN 37421-4178 | 2007-07-11 |
| 1215134275 | Allied Eye Associates, P.l.l.c. | Specialist | 7405 Shallowford Rd., Suite 420, Chattanooga, TN 37421 | 2007-07-02 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
Please comment or provide details below to improve the information on ID GROUP, PLLC.
| 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.