OrganizationActive
Main Street Medical, PLLC
NPI 1417230129 · Specialist · Ooltewah, TN
Main Street Medical, PLLC is a Specialist organization in Ooltewah, TN (NPI 1417230129).
Provider details
- NPI number
- 1417230129
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Paul Miranda, Authorized User(423) 521-5404
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1667 Ooltewah Ringgold Rd
Ooltewah, TN 37363-9830
Phone: (423) 886-7545
Street-level locationGet directions
Mailing address
326 Creekshire Dr
Signal Mtn, TN 37377-2086
Other names (DBA / former)
- Doing business as
- Main Street Medicine
- Doing business as
- Main Street Medicine
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2020-02-09
- Certified
- 2020-02-09
Frequently asked questions
- What is Main Street Medical, PLLC's NPI number?
- Main Street Medical, PLLC's National Provider Identifier (NPI) is 1417230129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Medical, PLLC?
- Main Street Medical, PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Main Street Medical, PLLC located?
- Main Street Medical, PLLC's practice location on file with NPPES is 1667 Ooltewah Ringgold Rd, Ooltewah, TN 37363-9830.
- What is Main Street Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Medical, PLLC is (423) 886-7545.
- Who is the authorized official for Main Street Medical, PLLC?
- The authorized official listed on Main Street Medical, PLLC's NPPES record is Paul Miranda, Authorized User. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Medical, PLLC's NPI active?
- Yes — Main Street Medical, PLLC's NPI (1417230129) is active in the NPPES registry as of the last update on 2020-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.