ASSOCIATES IN GENERAL SURGERY LLC NPI 1104958487

NPI Information

NPI: 1104958487
Provider Name: ASSOCIATES IN GENERAL SURGERY, LLC
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 721 GLENWOOD DR.
SUITE W-462
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 362-4554

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NPI Details

ASSOCIATES IN GENERAL SURGERY, LLC is a medical specialty clinic center in Chattanooga, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ASSOCIATES IN GENERAL SURGERY, LLC NPI is 1104958487. The provider is registered as an organization entity type.

The provider's business location address is:

721 GLENWOOD DR.
SUITE W-462
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 362-4554
Fax: (423) 362-4550

The provider's authorized official is Daniel L. Heithold .
The authorized official title is Owner and has the following contact phone number (423) 362-4554.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 10/23/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	43386	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GRP7585	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE GROUP ID #

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: 11/21/2025

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