Active NPI
Jeffrey R. Chambers, MD, PA
- Psychiatry Physician
- Durham, NC
National Provider Identifier
1366868879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31786
- Legal business name
- JEFFREY R. CHAMBERS, MD, PA
- Practice address
- 3308 Durham Chapel Hill Blvd
Suite 131
Durham, NC 27707-2694 - Phone
- (919) 490-9787
- Fax
- (888) 379-3488
- NPI assigned
- Mar 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan C. Tarker
- Title
- Ceo
- Phone
- (919) 623-4619
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31786 | NC | Primary |
Addresses
Primary practice location
3308 Durham Chapel Hill Blvd
Suite 131
Durham, NC 27707-2694
Mailing address
4016 Barrett Dr
Suite 104
Raleigh, NC 27609-6623
Phone (919) 490-9787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8921899 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
3308 Durham Chapel Hill Blvd
Ste 131
Durham, NC 27707
Phone (919) 490-9787
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Durham, NC
- NPI 1659412245
-
- Family Nurse Practitioner
- Durham, NC
- NPI 1295059087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394150400000",
"number": "1366868879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 BARRETT DR",
"address_2": "SUITE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096623",
"telephone_number": "919-490-9787",
"fax_number": "888-379-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 DURHAM CHAPEL HILL BLVD",
"address_2": "SUITE 131",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072694",
"telephone_number": "919-490-9787",
"fax_number": "888-379-3488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY R. CHAMBERS, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A",
"authorized_official_last_name": "TARKER",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-623-4619",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "31786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8921899",
"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, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.