DR. JASON CHRISTOPHER NICELY (NPI# 1962645812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962645812 |
| Entity Type | Individual |
| Full Name | DR. JASON CHRISTOPHER NICELY |
| Credential | MD |
| Practice Address |
9425 Shadow Point Cir Chattanooga TN 37421-5372 |
| Practice Telephone | 4233558722 |
| Mailing Telephone | 4233558722 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 067693 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
9425 SHADOW POINT CIR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-5372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215468277 | Jarrett Woock | Emergency Medicine | 7402 Lee Hwy, Chattanooga, TN 37421-1405 | 2017-03-22 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| 1831321553 | John R Mcgauley Jr. | Emergency Medicine | 3134 Waterfront Dr, Chattanooga, TN 37419-1535 | 2009-08-13 |
| 1952580599 | Nia Malene Foderingham | Emergency Medicine | 9029 Jenny Lynn Dr, Chattanooga, TN 37421-4595 | 2007-10-31 |
| 1790988582 | Joseph B Sobel | Emergency Medicine | 1 Cameron Hill Cir, Chattanooga, TN 37402-9815 | 2007-06-08 |
| 1821203357 | Joshua Dean Murphy | Emergency Medicine | 8507 Creek Stone Dr, Chattanooga, TN 37421-2739 | 2007-05-10 |
| 1164510186 | Timothy R Todd | Emergency Medicine | 9216 Royal Mountain Dr, Chattanooga, TN 37421-7405 | 2006-10-11 |
| 1124063177 | Robert Anthony Hill | Emergency Medicine | 3167 Elmendorf Cir, City of Chattanooga Welladvantage Wellness Center, Chattanooga, TN 37406-4004 | 2006-06-16 |
| 1669413415 | Susan Leslie Vergot | Emergency Medicine | 6740 Lee Hwy, Chattanooga, TN 37421-2423 | 2006-06-10 |
| 1619918851 | Carlos Cruz | Emergency Medicine | 9231 Hidden Mountain Dr, Chattanooga, TN 37421-7423 | 2006-06-09 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.