Charles A Crump (NPI# 1093704744, PAC ID# 4981790797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093704744 |
| PAC ID by PECOS | 4981790797 |
| Professional Enrollment ID | I20071009000891 |
| Full Name | Charles A Crump |
| Organization Legal Name | CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC |
| Address |
1000 Hwy 28 Jasper TN 37347-3638 |
| Phone Number | 4238379500 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739272519 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| 110001 | HAMILTON MEDICAL CENTER |
| 440104 | ERLANGER MEDICAL CENTER |
| 440156 | PARKRIDGE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 Broad St, Suite 140, Chattanooga, TN 37408-1834 | 4236982435 | CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC |
| 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 4236982423 | CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC |
| 1000 Hwy 28, Jasper, TN 37347-3638 | 4238379500 | CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven N Smith | Nurse Practitioner | Chattanooga Diagnostic Associates LLC | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 |
| Walter Matthew Porter | Nurse Practitioner | Chattanooga Diagnostic Associates LLC | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 |
| Harsha N Shanthaveerappa | Pulmonary Disease | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Caitlin A Kerley | Nurse Practitioner | Chattanooga Diagnostic Associates LLC | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 |
| Brittany B Bossert | Nurse Practitioner | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Maurice Aaron Alston | Internal Medicine | Chattanooga Diagnostic Associates LLC | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 |
| Sarath B Gangavarapu | Psychiatry | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Alexander G Roberts | Physical Medicine and Rehabilitation | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Derek R Rigby | Physician Assistant | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Ana Cornea | Endocrinology | Chattanooga Diagnostic Associates LLC | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 |
| Street Address |
1000 HWY 28 |
| City | JASPER |
| State | TN |
| Zip | 37347-3638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harsha N Shanthaveerappa | Pulmonary Disease | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| David S Attaway | Emergency Medicine | Heron Emergency Physicians Pllc | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Brittany B Bossert | Nurse Practitioner | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Sarath B Gangavarapu | Psychiatry | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Alexander G Roberts | Physical Medicine and Rehabilitation | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Derek R Rigby | Physician Assistant | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Jamie S Scott | Emergency Medicine | Heron Emergency Physicians Pllc | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Paul A Miranda | Emergency Medicine | Heron Emergency Physicians Pllc | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Diana N Kessler | Emergency Medicine | Heron Emergency Physicians Pllc | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Subhash P Virani | Internal Medicine | Chattown Inpatient Services Pllc | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Lee Gannon | Nurse Practitioner | Volunteer Behavioral Health Care System | 215 Hickman Rd, Jasper, TN 37347 |
| Glenna W Lashley | Nurse Practitioner | 503 Westfield Place, Jasper, TN 37347-0400 | |
| Michael T Czarnecki | Pulmonary Disease | 3697 Main St, Jasper, TN 37347-0417 | |
| Benjamin Waldorf | Urology | Independent Physical Therapy LLC | 4150 Main St, Suite 101, Jasper, TN 37347-3446 |
| Joseph N Sledge Iii | Cardiovascular Disease (cardiology) | 12 Courthouse Sq, Jasper, TN 37347-3530 | |
| William Allen | Optometry | 4597 Main St, Jasper, TN 37347-3540 | |
| Tina A Rigsby Prousalis | Nurse Practitioner | Hospital Based Medical Services of Tennessee-i PC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Lisa M Brooks | Nurse Practitioner | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Hal Jamison Parker | Emergency Medicine | Heron Emergency Physicians Pllc | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Faith H Williams | Nurse Practitioner | Hospital Based Medical Services of Tennessee-i PC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Find all physicians in zip 37347 | |||
| City | JASPER |
| Zip Code | 37347 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JASPER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles A Crump.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.