Individual provider Active NPI

Austin Chastang, PA-C

  • Physician Assistant
  • Daphne, AL
National Provider Identifier
1174384663
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1505 Daphne Ave
Daphne, AL 36526-4298
Phone
(251) 316-6634
NPI assigned
Jan 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1505 Daphne Ave
Daphne, AL 36526-4298

Mailing address

39400 T a Chastang Rd
Bay Minette, AL 36507-6872
Phone (251) 232-0322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306001033 AL Practitioner - Physician Assistant 8628414257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Bone and Joint P CGroup PAC ID 0446213409, 32 clinicians

Practice addresses (Care Compare)

10701 Eastern Shore Blvd
Spanish Fort, AL 36527-6042
Phone (251) 625-2663

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

Hospital & facility affiliations

  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Bone & Joint P C PastSince Feb 22, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: achastang@bbj1037.srs-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1174384663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 T A CHASTANG RD",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365076872",
            "telephone_number": "251-232-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-316-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTANG",
        "first_name": "AUSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.