Chassidy Teal, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

91973 Issued in GA

Practice address

2045 Peachtree Rd NE Ste 412
Atlanta, GA 30309-1408

Phone

(404) 383-0945

Fax

(888) 571-6147

NPI assigned

Apr 6, 2017

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGFBDD/Endpoint/FGFBDD

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.

• Atlanta Medical Associates LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1295413227
  Medicare reassignment NPD Authorized official
• Teal Medical Group

  • Clinic/Center
  • Atlanta, GA
  • NPI 1386340669

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1083147961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 412",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091408",
            "telephone_number": "404-383-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 412",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091408",
            "telephone_number": "404-383-0945",
            "fax_number": "888-571-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "CHASSIDY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "91973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teal Medical Group
• Vandelia Teal-Surratt, NP
• Adrienne Sara Teal
• Ashleigh Teal
• Brian Austin Teal, LCSW
• Norman Michael Teal, LMT
• Team Mobile Health Care
• Team Therapy LLC
• Kimberly Teamer, O.T.
• Craig Teasdale, DC

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.