Marilyn Kay Chappell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-01473 Issued in NC

Practice address

3901 N Roxboro St
Suite 701
Durham, NC 27704-2181

Phone

(919) 479-9888

Fax

(919) 479-9882

NPI assigned

Feb 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marilyn Kay Chappell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Carolina Comprehensive Health Network, PA

  • Family Medicine Physician
  • Statesville, NC
  • NPI 1245578350
  NPD (past)
• Tri-City Family Medicine & Urgent Care Clinic, PLLC

  • Family Medicine Physician
  • Holly Springs, NC
  • NPI 1881987691
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1528034337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 COTTENDALE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035852",
            "telephone_number": "919-596-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N ROXBORO ST",
            "address_2": "SUITE 701",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042181",
            "telephone_number": "919-479-9888",
            "fax_number": "919-479-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "MARILYN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "CHAPPELL",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Rose Chapman, LPC
• Shnaiya Montre Chapman, LMBT
• Velinda Jo Chapman, RN
• Cape Lee Chappell, PTA,
• Grayson Chappell, LPA
• Breana Lee Chappuis, PNP-AC
• Courtney Chari, M.S., CCC-SLP
• Deidra Debnam Charity
• Charles a. Schaefer, PH.D., Inc.
• Charles J. Lohr, D.D.S.

• Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.