Maryn Clements Chandler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006424 Issued in GA

Practice address

106 Briarwood Rd
Statesboro, GA 30458-2459

Phone

(912) 871-5000

Fax

(912) 681-1444

NPI assigned

May 30, 2012

Sex

Female

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Candler County Hospital Hospital, Metter, GA, CCN 111334
• East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryn.chandler@candlercounty.gadirect.net

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.

• Southeast Medical Group, P.C.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235296054
  Medicare reassignment Care Compare group
• Hospital Authority of Candler County

  • Critical Access Hospital
  • Metter, GA
  • NPI 1790888089
  NPD
• East Georgia Nephrology, PC

  • Nephrology Physician
  • Statesboro, GA
  • NPI 1215128186
  NPD (past)
• Physician First Health Network

  • Public Health or Welfare Agency
  • Alpharetta, GA
  • NPI 1598558181
  NPD (past)

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

• East Georgia Regional Medical Center, LLC

  • General Acute Care Hospital
  • Statesboro, GA
  • NPI 1265486278
  Care Compare affiliation
• Hospital Authority of Candler County

  • Critical Access Hospital
  • Metter, GA
  • NPI 1790888089
  Care Compare affiliation

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1053672709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304390538",
            "telephone_number": "912-685-5715",
            "fax_number": "912-685-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BRIARWOOD RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582459",
            "telephone_number": "912-871-5000",
            "fax_number": "912-681-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 S Conyers Street",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "30439",
            "country_code": "US",
            "telephone_number": "912-685-3992",
            "fax_number": "912-685-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "MARYN",
        "middle_name": "CLEMENTS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "006424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Clinic, LLC
• Emily Champion, OD
• Cullen Brooke Chance, SLP
• Evan L Chance, SERVICE COORDINATOR
• Kendra Ashley Chandler
• Athena Paraskevi Chapel, D.M.D.
• Bryan Chapman, R.PH.
• Anthony B. Chappell, M.D.
• Mary Jacqueline Charlier, RDN
• El Donna M Chase-Hilde, WHPN

• Medical Physician Assistant in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.