OrganizationActive
Wade in the Water Medicine LLC
NPI 1629416730 · Specialist · Chattanooga, TN
Provider details
- NPI number
- 1629416730
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Carroll Odem, President(423) 400-9910
- License
- MD24920 (TN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
5600 Brainerd Rd
Fc5
Chattanooga, TN 37411-5310
Phone: (423) 355-5471
Fax: (423) 355-5472
Street-level locationGet directions
Mailing address
5600 Brainerd Rd
Chattanooga, TN 37411-5310
Registry dates
- Enumerated
- 2013-06-11
- Last updated
- 2014-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.