Active NPI
Jerry Stephens Chase, MD
- Family Medicine Physician
- Columbus, GA
National Provider Identifier
1114908365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16037
- Practice address
- 2300 Manchester Expy
BLD F8
Columbus, GA 31904-6802 - Phone
- (706) 576-5922
- Fax
- (706) 327-4296
- NPI assigned
- Nov 7, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16037 | GA | Primary |
Addresses
Primary practice location
2300 Manchester Expy
BLD F8
Columbus, GA 31904-6802
Mailing address
2300 Manchester Expy
BLD F8
Columbus, GA 31904-6802
Phone (706) 576-5922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00148211C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16037 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114908365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 MANCHESTER EXPY",
"address_2": "BLD F8",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046802",
"telephone_number": "706-576-5922",
"fax_number": "706-327-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MANCHESTER EXPY",
"address_2": "BLD F8",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046802",
"telephone_number": "706-576-5922",
"fax_number": "706-327-4296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "JERRY",
"middle_name": "STEPHENS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "16037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00148211C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
- Susan Arnold Chappelle, MD
- Reabone Boiketlo Chapple
- Christine Character, SST I
- Charles P. Roman D.O. PC (Roman Medical Group)
- Elizabeth Charleston
- Ashley Chason, PH.D.
- Tamara Chatman
- Chattahoochee Institute for Wellness, Longevity & Weight Management
- Chattahoochee Plastic Surgery, PC
- Chattahoochee Sleep Center DME, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.