Healthcare Provider Details

I. General information

NPI: 1225867807
Provider Name (Legal Business Name): FAITH ALYCIA BATES NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7480 ZIEGLER RD STE 150
CHATTANOOGA TN
37421-4947
US

IV. Provider business mailing address

7480 ZIEGLER RD STE 150
CHATTANOOGA TN
37421-4947
US

V. Phone/Fax

Practice location:
  • Phone: 423-424-9957
  • Fax:
Mailing address:
  • Phone: 866-410-7155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number37065
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: