Active NPI
Jeuslyn Chandler, M.D.
- Family Medicine Physician
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 69284
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003136001A | Medicaid | GA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1111 Glynco Pkwy
Suite 10
Brunswick, GA 31525-7930
Phone (912) 574-4313
Hospital & facility affiliations
- Centerwell Home Health
- Southeast Georgia Health System- Brunswick Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69284 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunswick Medical LLC | Family Medicine | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Colbert, GA
- NPI 1396794541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brunswick, GA
- NPI 1619959251
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.