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TRAVIS ANDERSON
NPI 1083177513
Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Active since April 11, 2019PECOS Enrolled
975 EAST THIRD STREET, CHATTANOOGA, TN 37403(423) 778-4465 Get Directions Write a Review

NPPES record last updated: June 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2023, Apr 26, 2020, Apr 11, 2019 (3 updates tracked since 2019).

About Travis Anderson NPPES

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

TRAVIS ANDERSON (NPI 1083177513) is an individual student in an organized health care education/training program in Chattanooga, Tennessee and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083177513
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTRAVIS ANDERSON
Location Address975 EAST THIRD STREETChattanooga, TN 37403-4617
Mailing Address975 East Third StreetChattanooga, TN 37403 · (423) 778-4465
Phone(423) 778-4465
Sole ProprietorNo
Enumeration DateApril 11, 2019
Last NPPES UpdateJune 25, 20233 updates tracked since enumeration
NPPES CertifiedJune 25, 2023
✔ NPI 1083177513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
975 EAST THIRD STREET, Chattanooga, TN 37403
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Secondary Practice Locations 2

Location 12451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · Phone (251) 665-8200 · Fax (251) 665-8255
Location 2102 Mason Farm RdChapel Hill, NC 27514-4617 · Phone (984) 974-4462 · Fax (919) 843-9355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SNEHITHA BALGURI
Student in an Organized Health Care Education/Training Program
975 EAST THIRD STREET, ATTN: UT INTERNAL MEDICINE DEPARTMENT
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7817
AIKYA MANCHIKALAPATI MBBS, MD
Student in an Organized Health Care Education/Training Program
975 EAST THIRD STREET, HOSPITAL BOX 112
CHATTANOOGA, TN 37403
Hamilton County (723) 778-8179
NANCY G. MICHAELIS M.D.
Internal Medicine
975 EAST THIRD STREET
CHATTANOOGA, TN 37403
Hamilton County (423) 266-1490
NANCY JHANJI
Student in an Organized Health Care Education/Training Program
975 EAST THIRD STREET
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2800
DR. GABRIEL E. BRUFFY-HOLMES M.D.
Emergency Medicine
975 EAST THIRD STREET, ERLANGER MEDICAL CENTER
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7000
MS. TONI MARIE DOBSON NP-C
Nurse Practitioner (Family)
975 EAST THIRD STREET
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7592
WARREN EWING GARDNER II MD
Orthopaedic Surgery
975 EAST THIRD STREET, SUITE C-225
CHATTANOOGA, TN 37403
Hamilton County (423) 778-5995

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 Travis Anderson's NPI number?

The NPI number for Travis Anderson is 1083177513. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Travis Anderson located?

Travis Anderson practices at 975 East Third Street, Chattanooga, TN 37403. The listed phone number is (423) 778-4465.

What is Travis Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Travis Anderson enrolled in Medicare?

Yes. Travis Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Travis Anderson was last updated on June 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.