BRAINERD PRIMARY CARE PLLC
NPI 1952049363
Internal Medicine in Chattanooga, TN
About Brainerd Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAINERD PRIMARY CARE PLLC (NPI 1952049363) is a healthcare organization registered as an internal medicine in Chattanooga, Tennessee and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through August 29, 2028 and lists Naveed Hassan Memon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brainerd Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Brainerd Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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
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 Waiver 44D2267666
Brainerd Primary Care, PLLC · Chattanooga, TNFrequently 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 Brainerd Primary Care PLLC's NPI number?
The NPI number for Brainerd Primary Care PLLC is 1952049363. It was assigned to this organization in the NPPES registry on May 25, 2022.
Where is Brainerd Primary Care PLLC located?
Brainerd Primary Care PLLC is located at 5109 Brainerd Rd, Chattanooga, TN 37411. The listed phone number is (423) 777-5900.
What is Brainerd Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Brainerd Primary Care PLLC enrolled in Medicare?
Yes. Brainerd Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brainerd Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Brainerd Primary Care 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 (6) and Internal Medicine (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brainerd Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2267666) is associated with this NPI, valid through August 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Brainerd Primary Care PLLC was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Brainerd Primary Care Pllc · NPI 1952049363
Internal Medicine organization in Chattanooga, Tennessee. Organization record, active in the CMS NPPES registry since May 25, 2022.
## Identity
- **NPI:** 1952049363 (Entity type: Organization)
- **Enumerated:** May 25, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Naveed Memon, OWNER
## Practice location
- **Address:** 5109 BRAINERD RD, Chattanooga, TN 37411-3906
- **Phone:** (423) 777-5900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Internal Medicine (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952049363) · Data from the CMS NPPES public registry.