Active NPI
William A Chandler Jr., PA-C
- Physician Assistant
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1106
- Practice address
- 4413 Oakwood Drive
Chattanooga, TN 37416-2367 - Phone
- (423) 553-1823
- Fax
- (423) 553-1829
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1106 | TN | Primary |
Addresses
Primary practice location
4413 Oakwood Drive
Chattanooga, TN 37416-2367
Mailing address
4413 Oakwood Drive
Chattanooga, TN 37416-2367
Phone (423) 553-1823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1509719 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040301000484 | TN | Practitioner - Physician Assistant | 2567359078 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Palliative Care Services, PLLC
Practice addresses (Care Compare)
2030 Hamilton Place Blvd
Suite 220
Chattanooga, TN 37421-6040
Phone (423) 892-4289
Hospital & facility affiliations
- Memorial Healthcare System, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee River Physicians, PLLC | Current | Accepting new patients | |
| Tennessee Em-I Medical Services, PC | Past | Accepting new patients | |
| Hargrave Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
| Emergency Physicians PC | Past | Accepting new patients |
Locations
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
71 Wheelertown Ave
Pikeville, TN 37367
Phone (423) 447-2112
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Dunlap, TN
- NPI 1699212761
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1912955360
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1134177686
-
- Emergency Medicine Physician
- Ft Oglethorpe, GA
- NPI 1760744668
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1528088192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4413 OAKWOOD DRIVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374162367",
"telephone_number": "423-553-1823",
"fax_number": "423-553-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4413 OAKWOOD DRIVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374162367",
"telephone_number": "423-553-1823",
"fax_number": "423-553-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "WILLIAM",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509719",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.