Connie A Chandler, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4122 Issued in AL

Practice address

145 Katherine Ave
Ozark, AL 36360-1976

Phone

(334) 774-5116

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (4 of 10)

Locations

Networks

• bcbs alabama network 01E0
• bcbs alabama network 01A0
• bcbs alabama network 01C0
• bcbs alabama network 01H0
• bcbs alabama network 01G0
• bcbs alabama network 01B0

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.

• Dale Medical Center

  • Family Medicine Physician
  • Ozark, AL
  • NPI 1538275342

  AL, Family Medicine

  Medicare reassignment NPD
• Southland Medical Solutions of Ozark, PL

  • Emergency Medical Services (Emergency Medicine) Physician
  • Ozark, AL
  • NPI 1144545500

  AL

  Medicare reassignment NPD
• Dale Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Ozark, AL
  • NPI 1215479357
  NPD
• Dale Medical Center

  • Internal Medicine Physician
  • Ozark, AL
  • NPI 1659533206
  NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1215977129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363610863",
            "telephone_number": "334-443-1211",
            "fax_number": "334-443-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KATHERINE AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363601976",
            "telephone_number": "334-774-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "CONNIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "4122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "511-78140",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185389",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carley Carroll
• Armillya Carstarphen
• Anna Carter, MS, CCC-SLP
• Center for Counseling & Human Development Inc
• Cynthia Leigh Chancey
• William Eugene Chesser, D.M.D.
• Giselle Pacheco Childers, OD
• Kaylee Ashton Childree
• City of Ozark City Clerk
• Chris A Claassen, MD

• All providers in Ozark, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.

Verify at the official NPI Registry.