Kennedy Poole Chapman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

324530 Issued in LA

Practice address

6569 Highway 84
Ferriday, LA 71334-4573

Phone

(318) 757-6559

Fax

(318) 757-7014

NPI assigned

Sep 28, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Merit-based Incentive Payment System (MIPS)

Final score

60.66 of 100Reported as group

Quality

26.46

Improvement activities

40

Cost

80.85

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Concordia Parish Hospital Service District Number One

  • Family Medicine Physician
  • Ferriday, LA
  • NPI 1952565335

  LA

  Medicare reassignment NPD
• Concordia Parish Hospital Service District Number One

  • Critical Access Hospital
  • Ferriday, LA
  • NPI 1144227935

  LA

  Medicare reassignment
• Keystone Medical Services of Ferriday, Inc.

  • Emergency Medicine Physician
  • Ferriday, LA
  • NPI 1215704754

  LA

  Medicare reassignment
• Concordia Parish Hospital Service District Number One

  • Critical Access Hospital
  • Ferriday, LA
  • NPI 1275852303
  NPD
• Concordia Parish Hospital Service District Number One

  • Rural Health Clinic/Center
  • Ferriday, LA
  • NPI 1679513600
  NPD
• Concordia Parish Hospital Service District Number One

  • Rural Health Clinic/Center
  • Vidalia, LA
  • NPI 1780190322
  NPD (past)

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1053928622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 HWY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713344551",
            "telephone_number": "318-757-6559",
            "fax_number": "318-757-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 HIGHWAY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713344573",
            "telephone_number": "318-757-6559",
            "fax_number": "318-757-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KENNEDY",
        "middle_name": "POOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "324530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2543890",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora Canty
• Catahoula Parish Hospital District No 2
• Catahoula Parish Hospital District No 2
• Catahoula Parish Hospital District No 2
• Nearther Marie Ceasor
• Jordyn Leigh Clayton, RN
• Robert W Clayton III, CRNA
• Tamaro Hudson Cleveland, LPC
• CMH Medical Transportation Company LLC
• Chilita Nicole Coleman, LPC

• All providers in Ferriday, LA
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.