1841142536 NPI number — MR. JIMMY PIAYAS NP

Table of content: MR. JIMMY PIAYAS NP (NPI 1841142536)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841142536 NPI number — MR. JIMMY PIAYAS NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PIAYAS
Provider First Name:
JIMMY
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841142536
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/31/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
223 HIDDEN RIDGES DR SW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC DONALD
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37353-2400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-287-2646
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
251 N LYERLY ST STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37404-2743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-826-8000
Provider Business Practice Location Address Fax Number:
423-826-8005
Provider Enumeration Date:
02/13/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  41440 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)