Individual provider Active NPI

Chase Alain Czaykowsky, MD

  • Student in an Organized Health Care Education/Training Program
  • Gainesville, GA
National Provider Identifier
1194510545
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1439 Jesse Jewell Ste. 102
Gainesville, GA 30501-3050
Phone
(770) 219-9445
Fax
(770) 219-9446
NPI assigned
Apr 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1439 Jesse Jewell Ste. 102
Gainesville, GA 30501-3050

Mailing address

743 Spring Street
Suite 710
Gainesville, GA 30501
Phone (770) 219-8730

Other practice location 1

743 Spring St NE Ste 710
Gainesville, GA 30501-3715
Phone (770) 219-1200

Other practice location 2

743 Spring Street, Ste. 710
Gainesville, GA 30501
Phone (770) 219-9000

Other practice location 3

1075 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 219-5407

Other practice location 4

1515 River Pl Ste 2001515
Braselton, GA 30517-5602
Phone (770) 848-6140

Other practice location 5

1439 Jesse Jewell Ste. 202
Gainesville, GA 30501
Phone (770) 219-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1194510545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 SPRING STREET",
            "address_2": "SUITE 710",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-219-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 JESSE JEWELL STE. 102",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013050",
            "telephone_number": "770-219-9445",
            "fax_number": "770-219-9446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE Ste 710",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-1200",
            "fax_number": "770-219-6206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring Street, Ste. 710",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "770-219-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 Jesse Jewell Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "770-219-5407",
            "fax_number": "770-219-8369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 River Pl Ste 2001515",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175602",
            "country_code": "US",
            "telephone_number": "770-848-6140",
            "fax_number": "770-848-6141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1439 Jesse Jewell Ste. 202",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "770-219-9675",
            "fax_number": "770-219-9676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZAYKOWSKY",
        "first_name": "CHASE",
        "middle_name": "ALAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.