Active NPI
Cynthia Chambless M.D. LLC
- Family Medicine Physician
- Macon, GA
National Provider Identifier
1417291501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 030975
- Legal business name
- CYNTHIA CHAMBLESS M.D. LLC
- Practice address
- 6501 Peake Rd
Ste 200
Macon, GA 31210-8042 - Phone
- (478) 475-1413
- Fax
- (478) 405-7660
- NPI assigned
- Nov 15, 2012
- 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. Cynthia Blair Chambless, M.D.
- Title
- Owner
- Phone
- (478) 475-1413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 030975 | GA | Primary |
Addresses
Primary practice location
6501 Peake Rd
Ste 200
Macon, GA 31210-8042
Mailing address
6501 Peake Rd
Ste 200
Macon, GA 31210-8042
Phone (478) 475-1413
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1417291501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 PEAKE RD",
"address_2": "STE 200",
"city": "MACON",
"state": "GA",
"postal_code": "312108042",
"telephone_number": "478-475-1413",
"fax_number": "478-405-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 PEAKE RD",
"address_2": "STE 200",
"city": "MACON",
"state": "GA",
"postal_code": "312108042",
"telephone_number": "478-475-1413",
"fax_number": "478-405-7660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA CHAMBLESS M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "CHAMBLESS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "BLAIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-475-1413",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "030975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.