TRAVIS ANDERSON
NPI 1083177513
Student in an Organized Health Care Education/Training Program in Chattanooga, TN
NPI Status: Active since April 11, 2019
Contact Information
975 EAST THIRD STREET
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 778-4465
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About TRAVIS ANDERSON
This page provides the complete NPI Profile along with additional information for Travis Anderson, a primary care provider established in Chattanooga, Tennessee with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1083177513 assigned on April 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1083177513
- Provider Name
- TRAVIS ANDERSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 975 EAST THIRD STREET CHATTANOOGA, TN 37403
- Location Phone
- (423) 778-4465
- Mailing Address
- 975 EAST THIRD STREET CHATTANOOGA, TN 37403
- Mailing Phone
- (423) 778-4465
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-11-2019
- Last Update Date
- 06-25-2023
- Code Navigator
A primary care provider (PCP) like Travis Anderson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 2451 University Hospital Dr Rm 714
Mobile, AL 36617
(251) 665-8200 - 102 Mason Farm Rd
Chapel Hill, NC 27514
(984) 974-4462
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License State
- TN
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (AL) |
Medicare Participation & PECOS Enrollment Status
Travis Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 1 | 7 | 7 | 5 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 2 | 7 | 14 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 2 + 7 + 1 + 4 + 5 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1083177513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760897854 | MS. TONI MARIE DOBSON NP-C Individual | Nurse Practitioner (Family) | 975 EAST THIRD STREET CHATTANOOGA, TN 37403 (423) 778-7592 |
| 1831308139 | WARREN EWING GARDNER II MD Individual | Orthopaedic Surgery | 975 EAST THIRD STREET SUITE C-225 CHATTANOOGA, TN 37403 (423) 778-5995 |
| 1467452425 | NANCY G. MICHAELIS M.D. Individual | Internal Medicine | 975 EAST THIRD STREET CHATTANOOGA, TN 37403 (423) 266-1490 |
| 1588958474 | DR. GABRIEL E. BRUFFY-HOLMES M.D. Individual | Emergency Medicine | 975 EAST THIRD STREET ERLANGER MEDICAL CENTER CHATTANOOGA, TN 37403 (423) 778-7000 |
| 1508508813 | NANCY JHANJI Individual | Student in an Organized Health Care Education/Training Program | 975 EAST THIRD STREET CHATTANOOGA, TN 37403 (423) 778-2800 |
| 1255036950 | RAMSEY DAUGHERTY Individual | Student in an Organized Health Care Education/Training Program | 975 EAST THIRD STREET ATTN: VELVET GREEN CHATTANOOGA, TN 37403 (423) 778-7628 |
| 1952091159 | RAHUL PRAVINKUMAR SAKARWADIA M.D. Individual | Student in an Organized Health Care Education/Training Program | 975 EAST THIRD STREET ERLANGER HEALTH SYSTEM, UT INTERNAL MEDICINE RESIDENCY, CHATTANOOGA, TN 37403 (423) 778-7817 |
| 1831889948 | LIKHITA KANDIMALLA M.D. Individual | Student in an Organized Health Care Education/Training Program | 975 EAST THIRD STREET ERLANGER HEALTH SYSTEM, UT INTERNAL MEDICINE RESIDENCY CHATTANOOGA, TN 37403 (423) 778-7817 |
| 1154177228 | MS. SNEHITHA BALGURI Individual | Student in an Organized Health Care Education/Training Program | 975 EAST THIRD STREET ATTN: UT INTERNAL MEDICINE DEPARTMENT CHATTANOOGA, TN 37403 (423) 778-7817 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083177513, enumerated in the NPI registry as an "individual" on April 11, 2019
The provider is located at 975 East Third Street Chattanooga, Tn 37403 and the phone number is (423) 778-4465
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 11, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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