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ORANGE GROVE CENTER PRIMARY HEALTH CARE SERVICES
NPI 1073668653
Family Medicine - Adult Medicine in Chattanooga, TN

Active since January 24, 2007
615 DERBY ST, CHATTANOOGA, TN 37404(423) 493-2905(423) 493-2950 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Orange Grove Center Primary Health Care Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORANGE GROVE CENTER PRIMARY HEALTH CARE SERVICES (NPI 1073668653) is a healthcare organization registered as an adult medicine in Chattanooga, Tennessee and active in the NPI registry since January 2007. The organization lists Tera Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073668653
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameORANGE GROVE CENTER, INC.
Location Address615 DERBY STChattanooga, TN 37404-1632
Mailing Address615 Derby St, Attention: Health Informatics & ReimbursementChattanooga, TN 37404-1632 · (423) 493-2906 · Fax (423) 493-2950
Phone(423) 493-2905
Fax(423) 493-2950
Organization SubpartYes
Authorized OfficialTera RobertsCeo · (423) 493-2910
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMarch 4, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1073668653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TN · 26723
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 8686 (TN)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 13774 (TN)
615 DERBY ST, Chattanooga, TN 37404
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Other Names 1

Doing Business AsOrange Grove Center Primary Health Care Services

Other Identifiers 3

OtherCH3763TN · Rr Medicare
Other3070512TN · Bcbs Id
Medicaid3399927TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orange Grove Center Primary Health Care Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Orange Grove Center Primary Health Care Services, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Randy Heisser, MD
Emergency Medicine
NPI 1689620999
1508 TOMBRAS AVE
East Ridge, TN 37412
(423) 867-4969
✔ PECOS✔ Accepts Medicare3.5 mi
Patrice Henry, APRN
Nurse Practitioner
NPI 1063989150
6508 SATJANON DR
Ooltewah, TN 37363
(000) 000-0000
✔ PECOS✔ Accepts Medicare13 mi
Robert Boehm, M.D.
Internal Medicine
NPI 1033159793
550 FORT LOUDOUN MEDICAL CENTER DR
Lenoir City, TN 37772
(865) 271-6000
✔ PECOS✔ Accepts Medicare78 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orange Grove Center, Inc.'s NPI number?

The NPI number for Orange Grove Center, Inc. is 1073668653. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Orange Grove Center Primary Health Care Services.

Where is Orange Grove Center, Inc. located?

Orange Grove Center, Inc. is located at 615 Derby St, Chattanooga, TN 37404. The listed phone number is (423) 493-2905.

What is Orange Grove Center, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Orange Grove Center, Inc. enrolled in Medicare?

Yes. Orange Grove Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orange Grove Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Orange Grove Center, Inc., in Emergency Medicine, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orange Grove Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Orange Grove Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Orange Grove Center, Inc. was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.