Individual provider Active NPI

Newton W Chism Jr., MD

  • Specialist
  • Dublin, GA
National Provider Identifier
1366482507
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
017442 Issued in GA
Practice address
2400 Bellevue Rd
#23 Erin Office Park
Dublin, GA 31021-2885
Phone
(478) 272-8580
Fax
(478) 275-0012
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 017442 GA
Specialist 174400000X 017442 GA Primary
Psychiatry Physician 2084P0800X 017442 GA

Addresses

Primary practice location

2400 Bellevue Rd
#23 Erin Office Park
Dublin, GA 31021-2885

Mailing address

2400 Bellevue Rd Ste 23
Dublin, GA 31021-2888
Phone (478) 272-8580

Other identifiers 2

IdentifierTypeStateIssuer
00082233AMedicaidGA
300030912AMedicaidGA

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
I20101111000227 GA Practitioner - Obstetrics/Gynecology 0446445845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2400 Bellevue Rd
Suite 23
Dublin, GA 31021-2845

Hospital & facility affiliations

  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017442GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin OB-GYN & Associates, P.C. Specialist CurrentSince Feb 28, 2019 Accepting new patients
Community Service Board of Middle Georgia CurrentSince Nov 27, 2010 Accepting new patients
Fairview Park, Limited Partnership Past Accepting new patients

Locations

2400 Bellevue Rd
Ste 23
Dublin, GA 31021
Phone (478) 272-8580

2121A Bellevue Rd
Dublin, GA 31021
Phone (478) 272-1190

223 N Anderson Dr
Swainsboro, GA 30401
Phone (478) 289-2522

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: newton.chism.1@3170.direct.athenahealth.com

Organizations & group practices 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1366482507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 23",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212888",
            "telephone_number": "478-272-8580",
            "fax_number": "478-275-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD",
            "address_2": "#23 ERIN OFFICE PARK",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212885",
            "telephone_number": "478-272-8580",
            "fax_number": "478-275-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "NEWTON",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "017442",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "017442",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "017442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00082233A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300030912A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.