Ursula Chatmon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN046371 Issued in GA

Practice address

378 Tabor Rd
Fort Valley, GA 31030-6024

Phone

(478) 971-4684

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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.

• Great Expectations Unlimited, LLC

  • Community/Behavioral Health Agency
  • Warner Robins, GA
  • NPI 1184865339
  NPD (past)
• The Regeneration Project

  • Community/Behavioral Health Agency
  • Fort Valley, GA
  • NPI 1114253416
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2013.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1083048425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 TABOR RD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310306024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 TABOR RD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310306024",
            "telephone_number": "478-971-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMON",
        "first_name": "URSULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN046371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O'Mariana Brown
• Tammi L Cantrell
• Careconnect Health, Inc.
• Jacqueline Lee Caskey-James
• Hayley Cauley
• Christ'S Sanctified Holy Church, Inc.
• Christie Eye Care
• Anna Charlotte Chupp
• Church Home Rehabilitation and Healthcare, LLC
• Classroom21

• All providers in Fort Valley, GA
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.