NPIMap

Organization Active NPI

Chatham Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Richmond Hill, GA
National Provider Identifier
1134640907
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CHATHAM ORTHOPAEDIC ASSOCIATES PA
Practice address
1203 Gandy Dancer
Richmond Hill, GA 31324-8895
Phone
(912) 445-5904
NPI assigned
Jul 3, 2017
Last updated
Jul 3, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CHATHAM ORTHOPAEDIC ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Authorized official

Name
Dr. James Holtzclaw, MDNPI 1275584930
Title
Physician
Phone
(912) 351-0645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1203 Gandy Dancer
Richmond Hill, GA 31324-8895

Mailing address

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181110000126 GA DME Supplier - Physician - General Practice 8022910306 Practice locations: Richmond Hill, GA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Chatham Orthopedic Assoc9 organizations share this tax ID, including this one
Part of
Chatham Orthopedic Assoc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499040000000",
    "number": "1134640907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 GANDY DANCER",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248895",
            "telephone_number": "912-445-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM ORTHOPAEDIC ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATHAM ORTHOPAEDIC ASSOCIATES PA",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A",
        "authorized_official_last_name": "HOLTZCLAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-351-0645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.