Individual provider Active NPI

Vickie W Chapman, NP

  • Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1477613990
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN066554 NP Issued in GA
Practice address
1105 Burleyson Rd
Dalton, GA 30720-3181
Phone
(706) 278-4640
Fax
(706) 275-6599
NPI assigned
Dec 12, 2006
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN066554 NP GA Primary

Addresses

Primary practice location

1105 Burleyson Rd
Dalton, GA 30720-3181

Mailing address

105 JW Plaza Dr SE Ste 1
Calhoun, GA 30701-1503
Phone (706) 383-5622

Other identifiers 1

IdentifierTypeStateIssuer
823455973BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070327000414 GA Practitioner - Nurse Practitioner 1052415304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Obstetrics and Gynecology, PCGroup PAC ID 5092701029, 11 clinicians

Practice addresses (Care Compare)

1105 Burleyson Rd
Dalton, GA 30720-3181
Phone (706) 278-4640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
72.74
Improvement activities
40
Cost
88.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN066554 NPGAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Georgia Inc CurrentSince Dec 1, 2011 Accepting new patients
Associates in Obstetrics & Gynecology, PC CurrentSince Oct 25, 2021 Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

105 Jw Plaza Dr SE
Ste 1
Calhoun, GA 30701
Phone (706) 278-4640

824 Gi Maddox Pkwy
Chatsworth, GA 30705
Phone (706) 695-0561

1105 Burleyson Rd
Dalton, GA 30720
Phone (706) 278-4640

1250 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-4640

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4044/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vickie.chapman.1@4044.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1477613990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JW PLAZA DR SE STE 1",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011503",
            "telephone_number": "706-383-5622",
            "fax_number": "833-884-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203181",
            "telephone_number": "706-278-4640",
            "fax_number": "706-275-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "VICKIE",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN066554 NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823455973B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.