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FEARFULLY AND WONDERFULLY MADE OBGYN PLLC
NPI 1619498672
Obstetrics & Gynecology in Chattanooga, TN

Active since June 29, 2017
4012 WEST AVE, CHATTANOOGA, TN 37410(423) 498-2300(423) 498-2301 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2023, Jul 21, 2022, Jun 29, 2017 (3 updates tracked since 2017).

About Fearfully And Wonderfully Made Obgyn Pllc NPPES

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

FEARFULLY AND WONDERFULLY MADE OBGYN PLLC (NPI 1619498672) is a healthcare organization registered as an obstetrics & gynecology in Chattanooga, Tennessee and active in the NPI registry since June 2017. The organization lists Mary Anna Sanders, Owner, as its authorized official.

NPPES Registry Identity

NPI1619498672
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFEARFULLY AND WONDERFULLY MADE OBGYN PLLC
Location Address4012 WEST AVEChattanooga, TN 37410-1594
Mailing AddressPo Box 2217Chattanooga, TN 37409-0217 · (423) 498-2300 · Fax (423) 498-2301
Phone(423) 498-2300
Fax(423) 498-2301
Organization SubpartNo
Authorized OfficialMary Anna SandersOwner · (423) 498-2300
Enumeration DateJune 29, 2017
Last NPPES UpdateApril 28, 20233 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1619498672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4012 WEST AVE, Chattanooga, TN 37410
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fearfully And Wonderfully Made Obgyn Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Fearfully And Wonderfully Made Obgyn PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Mary Sanders, DO
Obstetrics/Gynecology
NPI 1588984371
4012 WEST AVE
Chattanooga, TN 37410
(423) 498-2300
✔ PECOS✔ Accepts MedicareSame address
Lindsey Haynes
Nurse Practitioner
NPI 1922410620
975 E 3RD ST
Chattanooga, TN 37403
(423) 778-7956
✔ PECOS3.3 mi
Kendra Keith, NP
Nurse Practitioner
NPI 1922321975
3257 CHATTANOOGA VALLEY RD
Flintstone, GA 30725
(706) 841-7700
✔ PECOS✔ Accepts Medicare5.1 mi
Jenna Cate
Nurse Practitioner
NPI 1013495951
360 DELL TRL
Dunlap, TN 37327
(423) 926-2358
✔ PECOS✔ Accepts Medicare26 mi

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

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 Fearfully And Wonderfully Made Obgyn PLLC's NPI number?

The NPI number for Fearfully And Wonderfully Made Obgyn PLLC is 1619498672. It was assigned to this organization in the NPPES registry on June 29, 2017.

Where is Fearfully And Wonderfully Made Obgyn PLLC located?

Fearfully And Wonderfully Made Obgyn PLLC is located at 4012 West Ave, Chattanooga, TN 37410. The listed phone number is (423) 498-2300.

What is Fearfully And Wonderfully Made Obgyn PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Fearfully And Wonderfully Made Obgyn PLLC enrolled in Medicare?

Yes. Fearfully And Wonderfully Made Obgyn PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fearfully And Wonderfully Made Obgyn PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Fearfully And Wonderfully Made Obgyn PLLC. 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 Nurse Practitioner (3) and Obstetrics/Gynecology (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fearfully And Wonderfully Made Obgyn PLLC was last updated on April 28, 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.