{"npi":"1003861998","type":"NPI-2","status":"active","name":{"display":"Physicians Surgery Center Of Chattanooga, LLC","other":[],"organization_name":"PHYSICIANS SURGERY CENTER OF CHATTANOOGA, LLC","authorised_official":"Kristen Occonor"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"TN","license":"00071"}]},"addresses":[{"purpose":"LOCATION","street_1":"924 SPRING CREEK ROAD","city":"CHATTANOOGA","state":"TN","postal_code":"374123910","country_code":"US","phone":"4238991600","fax":"4238892171"},{"purpose":"MAILING","street_1":"924 SPRING CREEK ROAD","city":"CHATTANOOGA","state":"TN","postal_code":"374123910","country_code":"US","phone":"4238991600","fax":"4238892171"}],"license":{"state":"TN","number":"00071"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0873969A","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"3288496","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100211000124","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"TN","pac_id":"8527072115"}]},"enumeration_date":"2006-05-23","last_updated":"2024-10-15","_meta":{"source":"NPPES","snapshot_date":"2024-10-15","doc_url":"https://findmynpi.com/api"}}