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The Plastic Surgery Group,pc

Surgery, Plastic and Reconstructive Surgery in Chattanooga, TN. Organization (NPI-2).

NPI number1669976213
StatusActive
Last updated in NPPESJan 28, 2019

Details

NPI
1669976213
Entity type
Organization (NPI-2)
Legal business name
The Plastic Surgery Group,pc
Organization subpart
No
Enumeration date
Mar 20, 2018
Last updated
Jan 28, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgery38782TNYes
2086S0122X Surgery, Plastic and Reconstructive Surgery36502TN
2086S0105X Surgery, Surgery of the Hand36502TN
2086S0122X Surgery, Plastic and Reconstructive Surgery28796TN
2086S0122X Surgery, Plastic and Reconstructive Surgery55433TN
208200000X Plastic Surgery55433TN
2086S0105X Surgery, Surgery of the Hand26787TN
2086S0105X Surgery, Surgery of the Hand28796TN

Practice location

1949 Gunbarrel Rd Ste 303
Chattanooga, TN 37421-3188

Phone 423-756-7134 · Fax 423-763-4571

Mailing address

901 Riverfront Parkway
Ste 100
Chattanooga, TN 37402-2102

Phone 423-756-7134

Authorized official

Bettye J Chastain
Supervisor
4237634543

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Plastic and Reconstructive Surgery Physician providers in Chattanooga, TN

All 8 Plastic and Reconstructive Surgery Physician providers in Chattanooga · All 9,197 providers in Chattanooga

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