Active NPI
Peggy Elizabeth Chatham, M.D.
- Geriatric Psychiatry Physician
- Ft Myers, FL
National Provider Identifier
1023064060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- ME91216
- Practice address
- 12734 Kenwood LN
Ste. 84
Ft Myers, FL 33907-5666 - Phone
- (239) 936-5250
- Fax
- (239) 936-9970
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME91216 | FL | |
| Geriatric Psychiatry Physician | 2084P0805X | ME91216 | FL | Primary |
Addresses
Primary practice location
12734 Kenwood LN
Ste. 84
Ft Myers, FL 33907-5666
Mailing address
5370 Congo CT
Cape Coral, FL 33904-5820
Phone (239) 464-7542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023064060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5370 CONGO CT",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339045820",
"telephone_number": "239-464-7542",
"fax_number": "239-540-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12734 KENWOOD LN",
"address_2": "STE. 84",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339075666",
"telephone_number": "239-936-5250",
"fax_number": "239-936-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATHAM",
"first_name": "PEGGY",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME91216",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "ME91216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.