SOUTH SIDE COMMUNITY HEALTH
NPI 1962597179
Clinic/Center - Federally Qualified Health Center (FQHC) in Chattanooga, TN
About South Side Community Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SIDE COMMUNITY HEALTH (NPI 1962597179) is a healthcare organization registered as a federally qualified health center (fqhc) in Chattanooga, Tennessee and active in the NPI registry since October 2006. The organization lists Mike Dale Shaver, Director Of Reimbursement, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Accepted 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)
South Side Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
531Medicare enrollment records show 531 clinicians reassign Medicare billing to South Side Community Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 369 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 43
Nearest to this location (20)
See all 531Chattanooga, TN 37403
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 Chattanooga Hamilton County Hospital Authority's NPI number?
The NPI number for Chattanooga Hamilton County Hospital Authority is 1962597179. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as South Side Community Health and Southside Community Health Center.
Where is Chattanooga Hamilton County Hospital Authority located?
Chattanooga Hamilton County Hospital Authority is located at 3800 Tennessee Ave Ste 124, Chattanooga, TN 37409. The listed phone number is (423) 778-4780.
What is Chattanooga Hamilton County Hospital Authority's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Chattanooga Hamilton County Hospital Authority enrolled in Medicare?
Yes. Chattanooga Hamilton County Hospital Authority is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chattanooga Hamilton County Hospital Authority?
According to the CMS Revalidation Reassignment List (October 2026 release), 531 clinicians in 43 Medicare specialties reassign their Medicare billing to Chattanooga Hamilton County Hospital Authority. 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 (144), Internal Medicine (59) and Family Practice (48). Of these, 2 practice at this address and 369 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Chattanooga Hamilton County Hospital Authority accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Chattanooga Hamilton County Hospital Authority 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 Chattanooga Hamilton County Hospital Authority was last updated on March 10, 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.
# South Side Community Health · NPI 1962597179
Federally Qualified Health Center (FQHC) organization in Chattanooga, Tennessee. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1962597179 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Chattanooga Hamilton County Hospital Authority
- **Also known as:** Southside Community Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mike Shaver, DIRECTOR OF REIMBURSEMENT
## Practice location
- **Address:** 3800 TENNESSEE AVE STE 124, Chattanooga, TN 37409-1260
- **Phone:** (423) 778-4780 · **Fax:** (423) 778-4833
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 531 clinicians in 43 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (144), Internal Medicine (59), Family Practice (48); 2 practice at this address and 369 within 10 miles; [full list](https://npiprofile.com/npi/1962597179/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2022
- **Other identifiers:** Medicaid 000451481A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1962597179) · Data from the CMS NPPES public registry.