Active NPI
Joseph J. Chappell, Jr., M.D., P.a.
Doing business as Tupelo Eye Clinic
- Ophthalmology Physician
- Tupelo, MS
National Provider Identifier
1447468368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JOSEPH J. CHAPPELL, JR., M.D., P.A.
- Doing business as
- Tupelo Eye Clinic
- Practice address
- 610 Brunson Dr
Tupelo, MS 38801-4947 - Phone
- (662) 844-7211
- NPI assigned
- May 21, 2007
- Last updated
- Sep 25, 2024
- 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
- Temesha Toliver, BS, MBA
- Title
- Office Manager
- Phone
- (662) 844-7211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 698 | MS | |
| Specialist | 174400000X | 12479 | MS | |
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
610 Brunson Dr
Tupelo, MS 38801-4947
Mailing address
610 Brunson Dr
Tupelo, MS 38801-4947
Phone (662) 844-7211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00001062 | Medicaid | MS | |
| 00016336 | Medicaid | MS | |
| 00111812 | Medicaid | MS |
Other names 1
- Tupelo Eye Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
610 Brunson Dr
Tupelo, MS 38801
Phone (601) 844-7211
Interoperability endpoints
- kpickering@tupelo.intellechartdirect.net
- lwalker@tupelo.intellechartdirect.net
- wbrawner@tupelo.intellechartdirect.net
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.
-
- Ophthalmology Physician
- Tupelo, MS
- NPI 1053302125
-
- Ophthalmology Physician
- Tupelo, MS
- NPI 1720342108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1447468368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 BRUNSON DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014947",
"telephone_number": "662-844-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 BRUNSON DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014947",
"telephone_number": "662-844-7211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH J. CHAPPELL, JR., M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A",
"authorized_official_last_name": "TOLIVER",
"authorized_official_first_name": "TEMESHA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "662-844-7211",
"authorized_official_credential": "BS, MBA"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "698",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "12479",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00001062",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016336",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00111812",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tupelo Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.