Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1861486763 Deactivated / Inactive NPI Male Practitioner

Dr. Jack F Rutledge , MD

Specialist • Chattanooga, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Rutledge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2005
NPI Deactivation Date December 09, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Rutledge, MD was a registered Specialist practicing in Chattanooga, TN. Throughout an active medical career spanning 14 years, Dr. Rutledge provided care at the practice location at 725 GLENWOOD DR until profile deactivation on 2019-12-09.

Practice Location & Contact Primary Location

Practice Address

725 Glenwood Dr
Suite E-786

Chattanooga, TN 374041163

Telephone 4234952501
Fax 4234952503
Associated Practice Facility / Clinic
🏢 Beacon Health Alliance Pc Facility NPI 1447205182

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Chattanooga, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.2 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
59 Specialists

Practicing in Chattanooga, TN (784 Statewide)

Telehealth Adoption Rate
0.0% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TN MD19383

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

39 Associated Practitioners
NPI 1003813296

Doctor of Medicine (M.D.)

NPI 1013916865

Doctor of Medicine (M.D.)

Dr. Jack Mccallie , MD

Internal Medicine

NPI 1023093853

Doctor of Medicine (M.D.)

Dr. Fred Gregg , MD

Ophthalmology

NPI 1043394968

Doctor of Medicine (M.D.)

Samantha Gagliano , FNP

Nurse Practitioner - Family

NPI 1053197483

Family Nurse Practitioner

NPI 1063418622

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active February 20, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2012

Registered at 725 GLENWOOD DR, SUITE E-786, CHATTANOOGA, TN 374041163 (Tel: 4234952501)

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Updated Business Mailing Address February 20, 2012

Registered at 725 GLENWOOD DR, SUITE E-786, CHATTANOOGA, TN 374041163 (Tel: 4234952501)

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Provider Name / Credentials Updated February 20, 2012

Recorded as JACK RUTLEDGE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2012

Specialist (License #MD19383 in TN)

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Initial NPI Registration & Enumeration September 07, 2005

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: 1861486763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: February 20, 2012
Deactivation Date: December 09, 2019

Mailing Address

725 Glenwood Dr, Suite E-786

Chattanooga, TN 374041163

Phone: 4234952501

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.