Angela L. Chandler, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

17039 Issued in MS

Practice address

134 Panther CRK
Canton, MS 39046-5316

Phone

(601) 832-6260

Fax

(601) 429-9301

NPI assigned

Jun 22, 2006

Last updated

Aug 18, 2022By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

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 Medicine

Practice roles

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.

• Angela L. Chandler, M.D., PLLC

  • Multi-Specialty Clinic/Center
  • Canton, MS
  • NPI 1427772391
  NPD Authorized official
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD (past)
• University Neurology Group, PLLC

  • Neurology Physician
  • Jackson, MS
  • NPI 1770599110
  NPD (past)
• University Pediatric Associates, PLLC

  • Pediatrics Physician
  • Jackson, MS
  • NPI 1396853149
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1083650345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PANTHER CRK",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465316",
            "telephone_number": "601-832-6260",
            "fax_number": "601-429-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PANTHER CRK",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465316",
            "telephone_number": "601-832-6260",
            "fax_number": "601-429-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ANGELA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "17039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125424",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100013",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Caples, ED.S.,
• Jessica Carson
• Catx, Inc
• Dewanna Chambliss
• Kajuandra Chandler-McDuffy, NP
• Takita Chaney
• Ruth A Chong, FNP
• Mattie Clark, LIFESTYLE COACH
• Preston L Cobbins, DDS
• Erika Lynn Coleman-Goodloe, D.M.D.

• Neurology Physician in Canton, MS
• Providers in Canton, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.