GALEN MEDICAL GROUP PC (NPI# 1891248092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891248092 |
| Entity Type | Organization |
| Organization Name | GALEN MEDICAL GROUP PC |
| Other Organization Name | GALEN PHARMACY |
| Practice Address |
2200 E 3rd St Ste 200 Chattanooga TN 37404-2745 |
| Practice Telephone | 4236432500 |
| Practice Fax Number | 4233057822 |
| Mailing Telephone | (423) 643-2500 |
| Mailing Fax Number | 4233057822 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MR. CHARLES J. LATHRAM (ADMINISTRATOR) |
| Authorized Official Telephone | 4233080521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 5807 | TN | Suppliers |
| Other Name | Type Code |
|---|---|
| Galen Pharmacy | Doing Business As Name - Organization |
| Street Address |
2200 E 3RD ST STE 200 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337451 | Sumeet Jagdish Bhushan | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2006-02-28 |
| 1891071197 | Samantha Taylor | Nurse Practitioner | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2011-10-31 |
| 1508009077 | Doloris D Hawk | Nurse Practitioner | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2009-04-14 |
| 1417195207 | Camille A Sommer | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2009-02-02 |
| 1073735304 | Melanie Black Blake | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2007-05-03 |
| 1972671428 | Gregory D. Olds | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2006-12-01 |
| 1528023512 | Colleen Maclin Schmitt | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2006-04-20 |
| 1972567592 | Chad M Charapata | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2006-04-12 |
| 1104892017 | Munford Radford Yates | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2006-02-28 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425038 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2020-04-08 |
| 1790314128 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2200 E 3rd St Ste 100, Chattanooga, TN 37404-2724 | 2020-04-07 |
| 1093975021 | 20/20 Optical LLC | Non-Pharmacy Dispensing Site | 7268 Jarnigan Rd, Suite 304, Chattanooga, TN 37421-3096 | 2008-06-12 |
| 1134251093 | Williford Optical, Inc. | Non-Pharmacy Dispensing Site | 1949 Gunbarrel Rd, Suite 110, Chattanooga, TN 37421-3188 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181160 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 4220 Harding Pike Bldg Ste200, Nashville, TN 37205-2005 | 2020-07-09 |
| 1144849050 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 1750 Cedar Ln Ste 200, Tullahoma, TN 37388-4761 | 2020-04-10 |
| 1720607625 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 3443 Dickerson Pike Ste 760, Nashville, TN 37207-2527 | 2020-04-10 |
| 1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
| 1700415981 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2121 N Locust Ave Ste 2, Lawrenceburg, TN 38464-4454 | 2020-04-08 |
| 1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
| 1144855073 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 776 Weatherly Dr Ste A, Clarksville, TN 37043-8941 | 2020-03-11 |
| 1407481567 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 5073 Main St Ste 210, Spring Hill, TN 37174-2738 | 2020-03-10 |
| 1659906709 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 103 Physicians Way Ste 102, Lebanon, TN 37090-4132 | 2020-03-10 |
| 1346875309 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 353 New Shackle Island Rd Ste 204a, Hendersonville, TN 37075-2371 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on GALEN MEDICAL GROUP PC.
| 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.