Individual provider Active NPI

Tammy T Chen, M.D.

  • Psychiatry Physician
  • Rock Hill, SC
National Provider Identifier
1013055706
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31361 Issued in SC
Practice address
2424 India Hook Rd
Suite 120
Rock Hill, SC 29732-2784
Phone
(803) 328-8255
Fax
(803) 328-8265
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 31361 SC Primary

Addresses

Primary practice location

2424 India Hook Rd
Suite 120
Rock Hill, SC 29732-2784

Mailing address

2424 India Hook Rd
Suite 120
Rock Hill, SC 29732-2784
Phone (803) 328-8255

Other identifiers 2

IdentifierTypeStateIssuer
313618MedicaidSC
AA42659325OtherSCMCR PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000068 SC Practitioner - Psychiatry 4880647668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2424 India Hook Rd
Suite 120
Rock Hill, SC 29732-1278
Phone (803) 328-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31361SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Psychiatric Practice CurrentSince Oct 12, 2012 Accepting new patients
Piedmont Physician Network LLC Psychiatry PastSince Oct 23, 2017 Accepting new patients

Locations

2424 India Hook Rd
Ste 120
Rock Hill, SC 29732
Phone (803) 328-8255

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1013055706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 INDIA HOOK RD",
            "address_2": "SUITE 120",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322784",
            "telephone_number": "803-328-8255",
            "fax_number": "803-328-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 INDIA HOOK RD",
            "address_2": "SUITE 120",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322784",
            "telephone_number": "803-328-8255",
            "fax_number": "803-328-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TAMMY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "31361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313618",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PTAN",
            "identifier": "AA42659325",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.