Organization Active NPI

James Chambliss MD

Doing business as James W Chambliss MD PLLC PA

  • Family Medicine Physician
  • Magnolia, AR
National Provider Identifier
1114181922
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAMES CHAMBLISS MD
Doing business as
James W Chambliss MD PLLC PA
Practice address
1701 E North St
Magnolia, AR 71753-3204
Phone
(870) 234-3802
Fax
(870) 234-7386
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley Campbell
Title
Office Manager
Phone
(870) 234-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1701 E North St
Magnolia, AR 71753-3204

Mailing address

1701 E North St
Magnolia, AR 71753-3204
Phone (870) 234-3802

Other names 1

  • JAMES W CHAMBLISS MD PLLC PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141010002168 AR Part B Supplier - Clinic/Group Practice 4486713518 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1114181922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E NORTH ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533204",
            "telephone_number": "870-234-3802",
            "fax_number": "870-234-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E NORTH ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533204",
            "telephone_number": "870-234-3802",
            "fax_number": "870-234-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES CHAMBLISS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-234-3802"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES W CHAMBLISS MD PLLC PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.