Active NPI
Crandall M. Chambers, M.D., LLC
- Obstetrics Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 043182
- Legal business name
- CRANDALL M. CHAMBERS, M.D., LLC
- Practice address
- 811 22ND St
Columbus, GA 31904-8822 - Phone
- (706) 323-1054
- Fax
- (706) 327-6270
- NPI assigned
- May 18, 2007
- 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
- Dr. Crandall Menton Chambers, M.D.
- Title
- Physician Owner
- Phone
- (706) 323-1054
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 043182 | GA | Primary |
Addresses
Primary practice location
811 22ND St
Columbus, GA 31904-8822
Mailing address
811 22ND St
Columbus, GA 31904-8822
Phone (706) 323-1054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099336633 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5009 Riverchase Dr
Ste A
Phenix City, AL 36867
Phone (334) 214-9766
811 22nd St
Columbus, GA 31904
Phone (706) 323-1054
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Columbus, GA
- NPI 1831238427
Single Specialty
-
- Obstetrics & Gynecology Physician
- Columbus, GA
- NPI 1588984090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396953790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 22ND ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048822",
"telephone_number": "706-323-1054",
"fax_number": "706-327-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 22ND ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048822",
"telephone_number": "706-323-1054",
"fax_number": "706-327-6270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRANDALL M. CHAMBERS, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "CRANDALL",
"authorized_official_middle_name": "MENTON",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "706-323-1054",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "GA",
"license": "043182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099336633",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.