Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417964248 Individual Practitioner Male Practitioner

Dr. Charles David Dietzen , MD

General Practice • Chattanooga, TN

Professional Overview & Biography Verified Profile Summary

Dr. Charles Dietzen, MD is a registered healthcare professional specializing in General Practice in Chattanooga, TN. Practice services are available at 4355 HIGHWAY 58 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4355 Highway 58
Suite 101

Chattanooga, TN 374162939

Telephone 4238924289
Fax 4238928301
Associated Practice Facility / Clinic
🏢 Joseph A. Motto, Md Facility NPI 1619156908

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Chattanooga, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 34.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Chattanooga, TN (202 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TN 009627

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License GA 051638

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Jennifer Montgomery , FNP-BC

Nurse Practitioner - Family

NPI 1184061590

Family Nurse Practitioner (Board Certified)

Angela Kelley , RN, MSN, GNP-BC

Nurse Practitioner - Gerontology

NPI 1184845505

Registered Nurse, Master of Science in Nursing, GNPBC

Melissa Hall , NP-C

Nurse Practitioner - Family

NPI 1215032230

Nurse Practitioner (Certified)

Dr. Gregory Phelps , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1336109412

Doctor of Medicine (M.D.)

Dr. Luther Chandler , MD

Internal Medicine

NPI 1437123726

Doctor of Medicine (M.D.)

Marissa Warden , MSN, FNP-C

Nurse Practitioner - Family

NPI 1467814178

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4355 HIGHWAY 58, SUITE 101, CHATTANOOGA, TN 374162939 (Tel: 4238924289)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2621 CRESTWOOD DR, CHATTANOOGA, TN 374156321 (Tel: 4232663500)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES DIETZEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #009627 in TN)

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417964248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2621 Crestwood Dr

Chattanooga, TN 374156321

Phone: 4232663500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.