Jack Chandley Chapman, PSG.T

Primary specialty

EEG TechnicianTaxonomy code 2472E0500X

License

2472E0500X

Practice address

7950 Martin Loop
Fort Benning, GA 31905-5647

Phone

(888) 884-9493

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033240684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ANDREA DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075214",
            "telephone_number": "706-366-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055647",
            "telephone_number": "888-884-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JACK",
        "middle_name": "CHANDLEY",
        "credential": "PSG.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": "2472E0500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Christian Cabog Cenon, FNP-C
• Ashley Cha, PHARM.D.
• Derek Champlin, DDS
• Chun Yu Chan, DMD
• Calvin Dean Chandler, OD
• Scott Christie
• Adele Marie Clifford, MD
• Clark Howell Cobb III, M.D.
• Joann W Cody
• Garret James Coleman, DO

• Other Technician in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Other Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.