Individual provider Active NPI

Angela E Chaney, M.D.

  • Pediatrics Physician
  • Fort Payne, AL
National Provider Identifier
1487607297
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23870 Issued in AL
Practice address
550 Medical Center Dr SW
Fort Payne, AL 35968-3418
Phone
(256) 845-3121
Fax
(256) 845-9546
NPI assigned
May 19, 2006
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23870 AL Primary

Addresses

Primary practice location

550 Medical Center Dr SW
Fort Payne, AL 35968-3418

Mailing address

550 Medical Center Dr SW
PO Box 680199
Fort Payne, AL 35968-3418
Phone (256) 845-3121

Other identifiers 2

IdentifierTypeStateIssuer
009984140MedicaidAL
09766OtherALBCBS

Other names 1

  • Angela C Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000059 AL Practitioner - Pediatric Medicine 8820270069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isbell Medical Group PCGroup PAC ID 0446247902, 3 clinicians

Practice addresses (Care Compare)

550 Medical Ctr Dr SW
Fort Payne, AL 35968-3418
Phone (256) 845-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Isbell Medical Group, P.C. CurrentSince Jan 26, 2011 Accepting new patients

Locations

550 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-6293

Interoperability endpoints

  • Direct secure messaging: aechaney@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Isbell Medical Group PCFort Payne, AL, CCN 018932 Rural health clinic 5% Or Greater Direct Ownership Interest (20%)
W-2 Managing Employee
Feb 1, 2018
Feb 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1487607297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MEDICAL CENTER DR SW",
            "address_2": "PO BOX 680199",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683418",
            "telephone_number": "256-845-3121",
            "fax_number": "256-845-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683418",
            "telephone_number": "256-845-3121",
            "fax_number": "256-845-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "ANGELA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "23870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009984140",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09766",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "EVANS",
            "middle_name": "C",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.