Organization Active NPI

Joseph J. Chappell, Jr., M.D., P.a.

Doing business as Tupelo Eye Clinic

  • Ophthalmology Physician
  • Tupelo, MS
National Provider Identifier
1447468368
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00001062MedicaidMS
00016336MedicaidMS
00111812MedicaidMS

Other names 1

  • Tupelo Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080227000573 MS Part B Supplier - Clinic/Group Practice 1658455795 Receives reassigned benefits from 3 practitioners
Practice locations: Booneville, MS; Tupelo, MS
O20100930034967 MS DME Supplier - Physician - Ophthalmology 1658455795 Practice locations: Tupelo, MS
O20240627000201 AL Part B Supplier - Clinic/Group Practice 1658455795 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, AL

National Provider Directory

National Provider Directory

Locations

610 Brunson Dr
Tupelo, MS 38801
Phone (601) 844-7211

Interoperability endpoints

  • Direct secure messaging: kpickering@tupelo.intellechartdirect.net
  • Direct secure messaging: lwalker@tupelo.intellechartdirect.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.