NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southern Life Healthcare Pllc

General Practice Physician in Chattanooga, TN · enumerated 2022 · authorized official Ethan Kellum, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538887401

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Southern Life Healthcare Pllc
Practice address 6102 Shallowford Rd Ste 104, Chattanooga, TN, 37421
Phone (423) 443-6400
Enumeration date Aug 17, 2022
Last updated in NPPES Jun 13, 2024

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ethan Kellum
Title Medical Director
Phone (901) 484-0837

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-06-13. Verify at npiregistry.cms.hhs.gov.
Where is Southern Life Healthcare Pllc located?
The practice location on file with NPPES is in Chattanooga, TN.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-13.