DR. JAMES T NEWBY JR. D.O.
NPI 1922083468
Family Medicine in Ooltewah, TN

Q: What is James Newby's NPI number?

The NPI number for James Newby is 1922083468. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is James Newby's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Newby was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment

5953 ELEMENTARY WAY STE 109, OOLTEWAH, TN 37363(423) 778-9174(423) 778-9173 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. James T Newby Jr. D.o. NPPES

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

DR. JAMES T NEWBY JR. D.O. (NPI 1922083468) is an individual family medicine provider in Ooltewah, Tennessee, licensed in Tennessee (1503) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of West Virginia School Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1922083468

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES T NEWBY JR.Credential: D.O.

Location Address5953 ELEMENTARY WAY STE 109Ooltewah, TN 37363-3172

Mailing Address5953 Elementary Way Ste 109Ooltewah, TN 37363-3172 · (423) 778-9174 · Fax (423) 778-9173

Phone(423) 778-9174

Fax(423) 778-9173

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2001

Enumeration DateDecember 7, 2005

Last NPPES UpdateNovember 14, 2024

NPPES CertifiedNovember 14, 2024

✔ NPI 1922083468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 1503

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.

5953 ELEMENTARY WAY STE 109, Ooltewah, TN 37363

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James T Newby Jr. D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244209260

PECOS Enrollment IDI20040927001163

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 James Newby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dx Mso, PLLC

7.3 mi

Urgent Care

1521 GUNBARREL RD, STE 103
Chattanooga, TN 37421

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

NPI 1225381148 (423) 531-0911

Erlanger Health

13 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440104

Location975 E 3rd StChattanooga, TN 37403 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37363 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

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

CHRISTIAN ALEXANDER GIVENS MD

Family Medicine

5953 ELEMENTARY WAY STE 109
COLLEGE DALE, TN 37363

Hamilton County (423) 778-9174

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 James Newby's NPI number?

The NPI number for James Newby is 1922083468. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is James Newby located?

James Newby practices at 5953 Elementary Way Ste 109, Ooltewah, TN 37363. The listed phone number is (423) 778-9174.

What is James Newby's specialty?

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

Is James Newby enrolled in Medicare?

Yes. James Newby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Newby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Newby reassigns Medicare benefits to 2 organizations: Dx Mso, PLLC (Chattanooga, TN) and Erlanger Health (Chattanooga, TN). Each 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 James Newby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Newby accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list James Newby 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.

Is James Newby affiliated with any hospitals?

According to CMS data, James Newby is affiliated with Memorial Healthcare System, Inc and Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for James Newby was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.