Active NPI
Charles G Chandler, MD
- Pediatrics Physician
- Murfreesboro, TN
National Provider Identifier
1275505216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD14457
- Practice address
- 1272 Garrison Dr
Murfreesboro, TN 37129-2598 - Phone
- (615) 893-4480
- Fax
- (615) 867-7951
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD14457 | TN | Primary |
Addresses
Primary practice location
1272 Garrison Dr
Murfreesboro, TN 37129-2598
Mailing address
1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 893-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3022627 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1275505216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 GARRISON DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371292598",
"telephone_number": "615-893-4480",
"fax_number": "615-867-7951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 GARRISON DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371292598",
"telephone_number": "615-893-4480",
"fax_number": "615-867-7951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "CHARLES",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD14457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3022627",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.