Collegedale Physical Medicine, PLLC
NPI 1811649056 · Pain Clinic/Center · Ooltewah, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Collegedale Physical Medicine, PLLC is a Pain Clinic/Center organization in Ooltewah, TN (NPI 1811649056).
Provider details
- NPI number
- 1811649056
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Collegedale Chiropractic PLLC
- Organization subpart
- Yes
- Authorized official
- Cheri Mccormick, Office Manager(423) 238-4118
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Other name
- Collegedale Chiropractic
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Frequently asked questions
- What is Collegedale Physical Medicine, PLLC's NPI number?
- Collegedale Physical Medicine, PLLC's National Provider Identifier (NPI) is 1811649056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collegedale Physical Medicine, PLLC?
- Collegedale Physical Medicine, PLLC is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Collegedale Physical Medicine, PLLC located?
- Collegedale Physical Medicine, PLLC's practice location on file with NPPES is 9457 David Smith Ln Ste 103, Ooltewah, TN 37363-7201.
- What is Collegedale Physical Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Collegedale Physical Medicine, PLLC is (423) 238-4118.
- Does Collegedale Physical Medicine, PLLC accept Medicare?
- Collegedale Physical Medicine, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Collegedale Physical Medicine, PLLC?
- The authorized official listed on Collegedale Physical Medicine, PLLC's NPPES record is Cheri Mccormick, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collegedale Physical Medicine, PLLC's NPI active?
- Yes — Collegedale Physical Medicine, PLLC's NPI (1811649056) is active in the NPPES registry as of the last update on 2022-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.