Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chickamauga Pediatric Emergency Physicians

Organization Emergency Medicine Physician · NPI 1518165018

Chickamauga Pediatric Emergency Physicians is an Emergency Medicine Physician in Chattanooga, Tennessee. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

910 Blackford St
Chattanooga, TN 37403-1405
Phone: (423) 778-6101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1518165018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Provasnik — Supervisor Of Provider Enrollment · (800) 355-0808
NPI enumeratedJuly 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 13159, Philadelphia, PA 19101-3159

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