Chai Chamnong DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHAI CHAMNONG DO LLC

Practice address

8300 Crossland Loop
Montgomery, AL 36117-8482

Phone

(334) 462-1781

NPI assigned

Jan 9, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chai Chamnong, D.O.

Title

Physician/Owner

Phone

(334) 462-1781

Specialties & licenses 1

Addresses

Other names 1

• Chamnong Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reagan Owens, APRN

  • Nurse Practitioner
  • Montgomery, AL
  • NPI 1659077709

  AL

  Medicare reassignment Care Compare group NPD
• Thavatchai Chamnongchareonwong, DO

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1023038353

  AL

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294531200000",
    "number": "1467756296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 TAYLOR RD",
            "address_2": "SUITE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177790",
            "telephone_number": "334-270-9914",
            "fax_number": "334-270-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CROSSLAND LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178482",
            "telephone_number": "334-462-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAI CHAMNONG DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2011-01-09",
        "status": "A",
        "authorized_official_last_name": "CHAMNONG",
        "authorized_official_first_name": "CHAI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "334-462-1781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chamnong Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centre Care Nursing Services
• Courtney Cephas, LPC
• Joan Marie Cerha, PT
• David E. Cerro, C.R.N.A.
• Certified Technical Experts
• Vichai Chaicharncheep, M.D.
• Naga Venkata Divya Challa
• Greta Ott Chambless, ED.S.
• Michael Scott Chambless, RPH
• Jad Chamieh, MD

• All providers in Montgomery, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.