NPIMap

Individual provider Active NPI

Prakul Chandra, MD

  • Family Medicine Physician
  • Millen, GA
National Provider Identifier
1497911937
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
066006 Issued in GA
Practice address
961 E Winthrope Ave
Millen, GA 30442-1839
Phone
(478) 982-0120
NPI assigned
Aug 4, 2008
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 066006 GA Primary

Addresses

Primary practice location

961 E Winthrope Ave
Millen, GA 30442-1839

Mailing address

440 Mall Blvd Ste C
Savannah, GA 31406-4868
Phone (912) 644-3340

Other identifiers 1

IdentifierTypeStateIssuer
003116286JMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000446 GA Practitioner - Family Practice 5193990513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Screven County Hospital LLCGroup PAC ID 5496944712, 2 clinicians
Jenkins County Hospital LLCGroup PAC ID 0143419820, 2 clinicians
Hospital Authority of Jenkins CountyGroup PAC ID 5193717833, shared by 3 NPIs, 4 clinicians

Practice addresses (Care Compare)

215 Mims Rd
Sylvania, GA 30467-1994
Phone (912) 564-7426

931 E Winthrope Ave
Millen, GA 30442-1839
Phone (912) 644-1626

961 E Winthrope Ave
Millen, GA 30442-1839
Phone (478) 982-9081

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
066006GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins County Hospital, LLC CurrentSince Dec 1, 2011 Accepting new patients
Screven County Hospital LLC CurrentSince Dec 1, 2011 Accepting new patients
Screven County Hospital, LLC Current Accepting new patients
Tattnall Hospital Company, LLC CurrentSince Dec 1, 2011 Accepting new patients
Jenkins County Hospital, LLC Family Medicine CurrentSince Dec 1, 2011 Accepting new patients
Jenkins County Hospital LLC Current Accepting new patients
Tattnall Hospital Company, LLC Current Accepting new patients
Sedzer Health LLC Current Accepting new patients
Screven County Hospital LLC Family Medicine Past Accepting new patients
Screven County Family Health Center, LLC Family Medicine Past Accepting new patients

Locations

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

440 Mall Blvd
Ste C
Savannah, GA 31406

460 Mall Blvd
Ste B
Savannah, GA 31406
Phone (912) 644-1626

211 Mims Rd
Sylvania, GA 30467
Phone (912) 564-2779

213 Mims Rd
Sylvania, GA 30467
Phone (912) 303-7729

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

Interoperability endpoints

  • Direct secure messaging: prakul.chandra@healthiealerts.org

Organizations & group practices 10

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 8

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1497911937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MALL BLVD STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064868",
            "telephone_number": "912-644-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 E WINTHROPE AVE",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304421839",
            "telephone_number": "478-982-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "PRAKUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "066006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003116286J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millen, GA

Sources for this page

Verify at the official NPI Registry.