Individual provider Active NPI

Scott V. Chappell, M.D.

  • Pediatrics Physician
  • Evans, GA
National Provider Identifier
1194722470
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
049228 Issued in GA
Practice address
411 Town Park Blvd
Evans, GA 30809-3487
Phone
(706) 854-2500
Fax
(706) 854-2559
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 049228 GA
Pediatrics Physician 208000000X 049228 GA Primary

Addresses

Primary practice location

411 Town Park Blvd
Evans, GA 30809-3487

Mailing address

PO Box 1758
Evans, GA 30809-3089
Phone (706) 854-2500

Other practice location 1

1303 D'antignac St.
Suite 2600
Augusta, GA 30901-2796
Phone (706) 854-2500

Other identifiers 2

IdentifierTypeStateIssuer
000890436CMedicaidGA
000890436BMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
049228GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners of Augusta, LLC Pediatrics CurrentSince Jan 28, 2024 Accepting new patients
Melissa Jadick Pediatrics Past Accepting new patients
Au Medical Associates Inc PastSince Jan 28, 2024 Accepting new patients

Locations

1303 Dantignac St
Ste 2600
Augusta, GA 30901
Phone (706) 854-2500

411 Town Park Blvd
Evans, GA 30809
Phone (706) 854-2500

Interoperability endpoints

  • Direct secure messaging: scott.chappell.1@14928.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1194722470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1758",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093089",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 D'antignac St.",
            "address_2": "Suite 2600",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012796",
            "country_code": "US",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "SCOTT",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "049228",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "049228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000890436C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000890436B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.