Individual provider Active NPI

Pride R Chapman, MD

  • Internal Medicine Physician
  • Dublin, GA
National Provider Identifier
1043298524
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048495 Issued in GA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000864036DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100208000289 GA Practitioner - Internal Medicine 4385787779
I20171109001838 AL Practitioner - Internal Medicine 4385787779 Reassigns benefits to 2 organizations
I20211102002081 FL Practitioner - Hospitalist 4385787779 Reassigns benefits to 1 organization
I20230310001815 AL Practitioner - Hospitalist 4385787779 Reassigns benefits to 2 organizations

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
D.W. McMillan Memorial HospitalGroup PAC ID 3072558378, 18 clinicians
Oak Mountain Group Services, LLCGroup PAC ID 3678886256, 62 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

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

LicenseStateTypeSpecialty
ME150223FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 5, 2023 Accepting new patients
Internal Medicine Associates P.C. Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 5, 2023 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jun 1, 2025 Accepting new patients
D.W. McMillan Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 21, 2019 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jun 1, 2025 Accepting new patients
D.W. McMillan Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
Internal Medicine Lab. Current Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 21, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.