Active NPI
Mark C Chandler, MD
- Psychiatry Physician
- Durham, NC
National Provider Identifier
1265452270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31000
- Practice address
- 3713 University Dr
Ste B
Durham, NC 27707-6202 - Phone
- (919) 401-6212
- Fax
- (919) 401-4170
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31000 | NC | Primary |
Addresses
Primary practice location
3713 University Dr
Ste B
Durham, NC 27707-6202
Mailing address
3713 University Dr
Ste B
Durham, NC 27707-6202
Phone (919) 401-6212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8921983 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Wisconsin School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3713 University Dr
Suite B
Durham, NC 27707-6202
Phone (919) 401-6212
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.3 of 100
- Quality
- 45.78
- Improvement activities
- 40
- Cost
- 86.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Act Medical Group PA | Past | Accepting new patients | |
| Monarch | Past | Accepting new patients | |
| North Carolina Neuropsychiatry, P.a. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Durham, NC
- NPI 1710191069
-
- Specialist
- Wilmington, NC
- NPI 1245219799
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Child & Adolescent Psychiatry Physician
- Chapel Hill, NC
- NPI 1265403042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1265452270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 UNIVERSITY DR",
"address_2": "STE B",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076202",
"telephone_number": "919-401-6212",
"fax_number": "919-401-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3713 UNIVERSITY DR",
"address_2": "STE B",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076202",
"telephone_number": "919-401-6212",
"fax_number": "919-401-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "MARK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "31000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8921983",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.