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TENNESSEE VALLEY UROLOGY CENTER PC
NPI 1538173232
Urology in Cleveland, TN

Active since July 28, 2006CLIA Certified · 3 labs
400 BERYWOOD TRL NW, STE B, CLEVELAND, TN 37312(423) 472-3201(423) 476-4949 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 26, 2025, Jul 17, 2024, Jan 25, 2023 and 1 more (4 updates tracked since 2022).

About Tennessee Valley Urology Center Pc NPPES

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

TENNESSEE VALLEY UROLOGY CENTER PC (NPI 1538173232) is a healthcare organization registered as an urology in Cleveland, Tennessee and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Edward M Mcintire, President, as its authorized official.

NPPES Registry Identity

NPI1538173232
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameTENNESSEE VALLEY UROLOGY CENTER PC
Location Address400 BERYWOOD TRL NW, STE BCleveland, TN 37312-5288
Mailing Address400 Berywood Trl Nw, Ste BCleveland, TN 37312-5288 · (423) 472-3201 · Fax (423) 476-4949
Phone(423) 472-3201
Fax(423) 476-4949
Organization SubpartNo
Authorized OfficialEdward M McintirePresident · (423) 472-3201
Enumeration DateJuly 28, 2006
Last NPPES UpdateNovember 26, 20254 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1538173232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
400 BERYWOOD TRL NW, Cleveland, TN 37312
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness 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)

Tennessee Valley Urology Center Pc 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 Tennessee Valley Urology Center PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Joseph Ivey
Urology
NPI 1376079269
400 BERYWOOD TRL NW STE B
Cleveland, TN 37312
(423) 472-3201
✔ PECOS✔ Accepts MedicareSame address
Amanda Linden, FNP-C
Nurse Practitioner
NPI 1538544028
400 BERYWOOD TRL NW STE B
Cleveland, TN 37312
(423) 472-3201
✔ PECOS✔ Accepts MedicareSame address
Stephen Jackson, M.D.
Urology
NPI 1386609808
400 BERYWOOD TRL NW SUITE B
Cleveland, TN 37312
(423) 472-3201
✔ PECOSSame address
Edward Mcintire, M.D.
Urology
NPI 1184689788
400 BERYWOOD TRL NW SUITE B
Cleveland, TN 37312
(423) 472-3201
✔ PECOS✔ Accepts MedicareSame address
Christopher Thacker, M.D.
Urology
NPI 1881658664
400 BERYWOOD TRL NW SUITE B
Cleveland, TN 37312
(423) 472-3201
✔ PECOS✔ Accepts MedicareSame address
Daniel Box
Urology
NPI 1083970198
400 BERYWOOD TRL NW STE B
Cleveland, TN 37312
(423) 472-3201
✔ PECOS✔ Accepts Medicare4.7 mi
Kristin Logsdon, APN, FNP-C
Nurse Practitioner
NPI 1538526348
6802 LEE HWY STE B
Chattanooga, TN 37421
(866) 389-2727
✔ PECOS✔ Accepts Medicare20 mi
Angela Ogle, NP
Nurse Practitioner
NPI 1306910351
1300 CLEVELAND AVE
Chattanooga, TN 37404
(423) 756-7860
✔ PECOS✔ Accepts Medicare25 mi
Xiao Mu, MD, PHD
Pathology
NPI 1962466565
3495 HACKS CROSS RD
Memphis, TN 38125
(901) 526-7444
✔ PECOS279 mi

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 3

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 Compliance 44D0688158

Tennessee Valley Urology Center PC · Cleveland, TN
Active · expires Aug 7, 2028
CLIA Number44D0688158
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2026
Certificate Expiration DateAugust 7, 2028
Laboratory DirectorDr. Christopher C. Thacker
Laboratory Phone(423) 472-3201
Laboratory LocationTennessee Valley Urology Center PC400 Berywood Trail NW, Suite B, Cleveland, TN 37312
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 44D2328591

Tennessee Valley Urology Center · Athens, TN
Active · expires Jan 21, 2028
CLIA Number44D2328591
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorDr. Christopher C. Thacker
Laboratory Phone(423) 472-3201
Laboratory LocationTennessee Valley Urology Center719 Cook Dr Suite 114, Athens, TN 37303
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 44D2328588

Tennessee Valley Urology Center · Ooltewah, TN
Active · expires Jan 4, 2028
CLIA Number44D2328588
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorDr. Christopher C. Thacker
Laboratory Phone(423) 472-3201
Laboratory LocationTennessee Valley Urology Center6059 Arbury Way Second Floor, Ooltewah, TN 37363
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Tennessee Valley Urology Center PC's NPI number?

The NPI number for Tennessee Valley Urology Center PC is 1538173232. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Tennessee Valley Urology Center PC located?

Tennessee Valley Urology Center PC is located at 400 Berywood Trl NW Ste B, Cleveland, TN 37312. The listed phone number is (423) 472-3201.

What is Tennessee Valley Urology Center PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tennessee Valley Urology Center PC enrolled in Medicare?

Yes. Tennessee Valley Urology Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tennessee Valley Urology Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Tennessee Valley Urology Center PC. 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 Urology (5), Nurse Practitioner (3) and Pathology (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tennessee Valley Urology Center PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Tennessee Valley Urology Center PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 34 other insurers list Tennessee Valley Urology Center PC 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 Tennessee Valley Urology Center PC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.