Active NPI
Tammy T Chen, M.D.
- Psychiatry Physician
- Rock Hill, SC
National Provider Identifier
1013055706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31361
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313618 | Medicaid | SC | |
| AA42659325 | Other | SC | MCR 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31361 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Psychiatric Practice | Current | Accepting new patients | |
| Piedmont Physician Network LLC | Psychiatry | Past | Accepting new patients |
Locations
2424 India Hook Rd
Ste 120
Rock Hill, SC 29732
Phone (803) 328-8255
Interoperability endpoints
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rock Hill, SC
- NPI 1578807483
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.