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FAST ACCESS HEALTHCARE NPI 1063619997


NPI Information

NPI: 1063619997
Provider Name: FAST ACCESS HEALTHCARE
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 44D1068138

Address:
2372 LIFESTYLE WAY STE 152
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 894-0432
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FAST ACCESS HEALTHCARE is an internal medicine in Chattanooga, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FAST ACCESS HEALTHCARE NPI is 1063619997. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2372 LIFESTYLE WAY STE 152
CHATTANOOGA, TN
ZIP 37421-940
Phone: (423) 894-0432
Fax: (423) 894-0475

The provider's authorized official is Jonathan M Kerley .
The authorized official title is Owner Physician and has the following contact phone number (423) 894-0432.

The CLIA number assigned to this NPI record is 44D1068138 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 1/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseNo
2207RG0100XInternal MedicineGastroenterologyNo
3363L00000XNurse PractitionerNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13370172MEDICAIDTENNESSEE
23370172OTHERTENNESSEEMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.