Provider Demographics
NPI:1134218100
Name:LITTLE, JAMES PETER (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PETER
Last Name:LITTLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 SPRING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-3970
Mailing Address - Country:US
Mailing Address - Phone:423-510-0092
Mailing Address - Fax:866-723-8928
Practice Address - Street 1:1011 SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-3970
Practice Address - Country:US
Practice Address - Phone:423-510-0092
Practice Address - Fax:866-723-8928
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15701208100000X, 204R00000X, 202C00000X
KY23638208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN54348OtherBCBS OF TN
A98331Medicare UPIN
TN3019549Medicare ID - Type UnspecifiedCIGNA GOVERNMENT SERVICES