CHATTANOOGA FAMILY PRACTICE ASSOCIATES, P.C.
NPI 1124132634
Family Medicine in Chattanooga, TN

Active since August 19, 2006CLIA 44D0720070 · Waiver
961 SPRING CREEK RD, CHATTANOOGA, TN 37412(423) 892-2221(423) 490-3407 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chattanooga Family Practice Associates, P.c. NPPES

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

CHATTANOOGA FAMILY PRACTICE ASSOCIATES, P.C. (NPI 1124132634) is a healthcare organization registered as a family medicine in Chattanooga, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists David Kendall Close, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124132634
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHATTANOOGA FAMILY PRACTICE ASSOCIATES, P.C.
Location Address961 SPRING CREEK RDChattanooga, TN 37412-3909
Mailing Address961 Spring Creek RdChattanooga, TN 37412-3909 · (423) 892-2221 · Fax (423) 490-3407
Fax(423) 490-3407
Organization SubpartNo
Authorized OfficialDavid Kendall CloseMedical Director · (423) 892-2221
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1124132634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
961 SPRING CREEK RD, Chattanooga, TN 37412

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 SINGLE SPECIALTY GROUP

Accepted 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)

Chattanooga Family Practice Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Chattanooga Family Practice Associates, P.C., which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1396222568
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1558335844
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447938600
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588638910
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619941119
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457325862
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1194084681
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689906968
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295157196
961 SPRING CREEK RD
Chattanooga, TN 37412
(423) 892-2221
✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0720070

Chattanooga Family Practice Associates, Inc · Chattanooga, TN
Active · expires Mar 29, 2027
CLIA Number44D0720070
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorDr. Richard D. Moody
Laboratory Phone(423) 892-2221
Laboratory LocationChattanooga Family Practice Associates, Inc961 Spring Creek Rd, Chattanooga, TN 37412
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chattanooga Family Practice Associates, P.C.'s NPI number?

The NPI number for Chattanooga Family Practice Associates, P.C. is 1124132634. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Chattanooga Family Practice Associates, P.C. located?

Chattanooga Family Practice Associates, P.C. is located at 961 Spring Creek Rd, Chattanooga, TN 37412. The listed phone number is (423) 892-2221.

What is Chattanooga Family Practice Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Chattanooga Family Practice Associates, P.C. enrolled in Medicare?

Yes. Chattanooga Family Practice Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chattanooga Family Practice Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Chattanooga Family Practice Associates, P.C.. 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. The largest specialties are Family Practice (5) and Nurse Practitioner (4). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chattanooga Family Practice Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0720070) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chattanooga Family Practice Associates, P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Chattanooga Family Practice Associates, P.C. 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 Chattanooga Family Practice Associates, P.C. was last updated on March 5, 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.