Active NPI
Pride R Chapman, MD
- Internal Medicine Physician
- Dublin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 048495
- Practice address
- 104 Fairview Park Dr
Dublin, GA 31021 - Phone
- (478) 272-1366
- Fax
- (478) 277-1922
- NPI assigned
- Jan 5, 2006
- Last updated
- Jul 10, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME150223 | FL | |
| Internal Medicine Physician | 207R00000X | 048495 | GA | Primary |
Addresses
Primary practice location
104 Fairview Park Dr
Dublin, GA 31021
Mailing address
PO Box 407
Vidalia, GA 30475-0407
Phone (478) 272-1366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000864036D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Tennessee, HSC, College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
174 Hwy 113
Flomaton, AL 36441-4556
Phone (251) 296-2456
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000
7800 US Hwy 98 W
Miramar Beach, FL 32550-7228
Phone (850) 278-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150223 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Internal Medicine Associates P.C. | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| D.W. McMillan Memorial Hospital | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| D.W. McMillan Memorial Hospital | Current | Accepting new patients | |
| Internal Medicine Lab. | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| D. W. McMillan Memorial Hospital | Past | Accepting new patients |
Locations
1121 Belleville Ave
Ste A
Brewton, AL 36426
Phone (251) 809-0920
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775
174 Highway 113
Flomaton, AL 36441
Phone (251) 296-2456
121 N 20th St
Ste 6
Opelika, AL 36801
Phone (334) 749-3385
3306 20th Ave
Valley, AL 36854
Phone (205) 545-5090
3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- pride.chapman@mrmc.gadirect.net
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Flomaton Medical Center
- Rural Health Clinic/Center
- Flomaton, AL
- NPI 1497852735
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1205614336
-
- Hospitalist Physician
- Birmingham, AL
- NPI 1366840761
-
- Internal Medicine Physician
- Opelika, AL
- NPI 1225108715
-
- Urgent Care Clinic/Center
- Centre, AL
- NPI 1932586476
-
dba D W McMillan Medical Center
- Multi-Specialty Clinic/Center
- Brewton, AL
- NPI 1679196927
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Miramar Beach, FL
- NPI 1225816069
-
- Clinical Medical Laboratory
- Opelika, AL
- NPI 1861558041
-
- Physical Medicine & Rehabilitation Physician
- Vestavia Hills, AL
- NPI 1609321165
-
dba MainStreet Family Care
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
-
- General Acute Care Hospital
- Brewton, AL
- NPI 1609811538
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grandview Medical Center
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Brewton, AL
- NPI 1609811538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1043298524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 407",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304750407",
"telephone_number": "478-272-1366",
"fax_number": "478-277-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FAIRVIEW PARK DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "478-272-1366",
"fax_number": "478-277-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "PRIDE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME150223",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "048495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000864036D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.