JOANI L JACK MD
NPI 1184698698
Pediatrics in Chattanooga, TN

Q: What is Joani Jack's NPI number?

The NPI number for Joani Jack is 1184698698. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Q: What is Joani Jack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Joani Jack was last updated on November 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 14, 2006PECOS Enrolled

910 BLACKFORD ST, CHATTANOOGA, TN 37403(423) 778-6012(423) 778-6958 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Joani L Jack Md NPPES

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

JOANI L JACK MD (NPI 1184698698) is an individual pediatrics provider in Chattanooga, Tennessee, licensed in Tennessee (24883) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184698698

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJOANI L JACKCredential: MD

Location Address910 BLACKFORD STChattanooga, TN 37403-1405

Mailing Address910 Blackford StChattanooga, TN 37403-1405 · (423) 778-6012 · Fax (423) 778-6958

Phone(423) 778-6012

Fax(423) 778-6958

Sole ProprietorNo

Enumeration DateFebruary 14, 2006

Last NPPES UpdateNovember 18, 2008

✔ NPI 1184698698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 24883

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

910 BLACKFORD ST, Chattanooga, TN 37403

Open in Google Maps ↗

Other Identifiers 2

Medicare UPING72897

Medicare ID-Type Unspecified3828899TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joani L Jack Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Joani Jack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chattanooga Hamilton County Hospital Authority

0.1 mi

Internal Medicine

975 E 3RD ST
Chattanooga, TN 37403

Reassigned Medicare billing, Tennessee enrollment
533 clinicians in this Medicare group

NPI 1407034028 (423) 266-1490

Erlanger Health

0.1 mi

Internal Medicine

979 E 3RD ST STE A440
Chattanooga, TN 37403

Reassigned Medicare billing, Tennessee enrollment
679 clinicians in this Medicare group

NPI 1477256303 (423) 778-2867

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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 20

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

ANTHONY JOSEPH CIAMPOLI DO

Student in an Organized Health Care Education/Training Program