Active NPI
Chad Spencer Chaffin, RNFA
- Urology Registered Nurse
- Atlanta, GA
National Provider Identifier
1578764601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Registered Nurse
- License
- RN134291
- Practice address
- 128 North Ave NE
Ste. 100
Atlanta, GA 30308-2329 - Phone
- (404) 881-0966
- Fax
- (404) 874-5902
- NPI assigned
- May 29, 2007
- 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 |
|---|---|---|---|---|
| Urology Registered Nurse | 163WU0100X | RN134291 | GA | Primary |
Addresses
Primary practice location
128 North Ave NE
Ste. 100
Atlanta, GA 30308-2329
Mailing address
128 North Ave NE
Ste. 100
Atlanta, GA 30308-2329
Phone (404) 881-0966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN134291 | Other | GA | STATE RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN134291 | GA | MD | Urology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578764601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 NORTH AVE NE",
"address_2": "STE. 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082329",
"telephone_number": "404-881-0966",
"fax_number": "404-874-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 NORTH AVE NE",
"address_2": "STE. 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082329",
"telephone_number": "404-881-0966",
"fax_number": "404-874-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFFIN",
"first_name": "CHAD",
"middle_name": "SPENCER",
"name_prefix": "Mr.",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WU0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Urology",
"state": "GA",
"license": "RN134291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE RN LICENSE",
"identifier": "RN134291",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.