Individual provider Active NPI

Jeuslyn Chandler, M.D.

  • Family Medicine Physician
  • Brunswick, GA
National Provider Identifier
1356680359
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69284 Issued in GA
Practice address
1111 Glynco Pkwy
Building 1 Suite 10
Brunswick, GA 31525
Phone
(912) 574-4313
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 69284 GA Primary

Addresses

Primary practice location

1111 Glynco Pkwy
Building 1 Suite 10
Brunswick, GA 31525

Mailing address

1111 Glynco Pkwy
Building 1 Suite 10
Brunswick, GA 31525
Phone (912) 574-4313

Other identifiers 1

IdentifierTypeStateIssuer
003136001AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20130821000614 GA Practitioner - Family Practice 8224271374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brunswick Medical LLCGroup PAC ID 8022455724, 2 clinicians

Practice addresses (Care Compare)

1111 Glynco Pkwy
Suite 10
Brunswick, GA 31525-7930
Phone (912) 574-4313

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Brunswick, GA, CCN 117144
  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69284GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Medical LLC Family Medicine CurrentSince Jan 20, 2024 Accepting new patients
Medlink Georgia Inc Current Accepting new patients

Locations

1111 Glynco Pkwy
Ste 10
Brunswick, GA 31525
Phone (912) 264-9111

11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

247 Union Point St
Lexington, GA 30648
Phone (706) 743-8171

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1356680359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "BUILDING 1 SUITE 10",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31525",
            "telephone_number": "912-574-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "BUILDING 1 SUITE 10",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31525",
            "telephone_number": "912-574-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "JEUSLYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "69284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136001A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.