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DR. CHARLES SAMUEL FUSSELL SR. D.D.S.
NPI 1144303512
Dentist - General Practice in Chattanooga, TN

Active since October 21, 2006PECOS Enrolled
4610 BRAINERD RD, CHATTANOOGA, TN 37411(423) 698-8619(423) 698-8610 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Samuel Fussell Sr. D.d.s. NPPES

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

DR. CHARLES SAMUEL FUSSELL SR. D.D.S. (NPI 1144303512) is an individual general practice provider in Chattanooga, Tennessee, licensed in Tennessee (DS002432) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144303512
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES SAMUEL FUSSELL SR.Credential: D.D.S.
Location Address4610 BRAINERD RDChattanooga, TN 37411-3835
Mailing Address4610 Brainerd RdChattanooga, TN 37411-3835 · (423) 698-8619 · Fax (423) 698-8610
Phone(423) 698-8619
Fax(423) 698-8610
Sole ProprietorNo
Enumeration DateOctober 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144303512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS002432
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4610 BRAINERD RD, Chattanooga, TN 37411
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Samuel Fussell Sr. D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. JERIL RANSOM COOPER IV DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
4610 BRAINERD RD, SUITE 3
CHATTANOOGA, TN 37411
Hamilton County (423) 622-4173
ELIZABETH A JANSEN D.O.
Anesthesiology
4610 BRAINERD RD
CHATTANOOGA, TN 37411
Hamilton County (423) 541-5500
DR. KENNETH C DYER IV D.D.S., M.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
4610 BRAINERD RD, SUITE 3
CHATTANOOGA, TN 37411
Hamilton County (423) 624-6525
DR. DEWAYNE B MCCAMISH D.D.S., M.S., P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
4610 BRAINERD RD, SUITE 3
CHATTANOOGA, TN 37411
Hamilton County (423) 624-6425

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 Charles Fussell's NPI number?

The NPI number for Charles Fussell is 1144303512. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is Charles Fussell located?

Charles Fussell practices at 4610 Brainerd Rd, Chattanooga, TN 37411. The listed phone number is (423) 698-8619.

What is Charles Fussell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Fussell enrolled in Medicare?

Yes. Charles Fussell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Fussell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.