Organization Active NPI

Jeffrey R. Chambers, MD, PA

  • Psychiatry Physician
  • Durham, NC
National Provider Identifier
1366868879
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31786 Issued in NC
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

Updated by the provider on Mar 7, 2014

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8921899MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.