BEACON HEALTH ALLIANCE PC NPI 1174795645

NPI Information

  • NPI: 1174795645
  • Provider Name: BEACON HEALTH ALLIANCE PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Other Name: BEACON HEALTH OBGYN ASSOCIATES HIX
  • CLIA Number: 44D2000906
  • Address: 2051 HAMILL RD
    SUITE 110B
    HIXSON, TN
    ZIP 37343
  • Phone: (423) 778-9500

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NPI Details

BEACON HEALTH ALLIANCE PC is an obstetrics gynecology in Hixson, TN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BEACON HEALTH ALLIANCE PC NPI is 1174795645. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Beacon Health Obgyn Associates Hix.

The provider's business location address is:

2051 HAMILL RD
SUITE 110B
HIXSON, TN
ZIP 37343-614
Phone: (423) 778-9500
Fax: (423) 778-9575

The provider's authorized official is Sheila Manley .
The authorized official title is Director Of Operations and has the following contact phone number (423) 495-4806.

The CLIA number assigned to this NPI record is 44D2000906 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 6/2/2009.

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
1207V00000XObstetrics & GynecologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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