Active NPI
Richard E Chapman, PA
- Physician Assistant
- Kingsport, TN
National Provider Identifier
1629277595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1440
- Practice address
- 135 W Ravine Rd
Suite 8a
Kingsport, TN 37660-3847 - Phone
- (423) 224-3210
- Fax
- (423) 224-3215
- NPI assigned
- Jul 12, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1440 | TN | |
| Medical Physician Assistant | 363AM0700X | 1440 | TN | |
| Physician Assistant | 363A00000X | 1440 | TN | Primary |
Addresses
Primary practice location
135 W Ravine Rd
Suite 8a
Kingsport, TN 37660-3847
Mailing address
999 Executive Park Blvd
Suite 201
Kingsport, TN 37660-4632
Phone (423) 224-3250
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Wellmont Physician Services Inc | Physician Assistant | Past | Accepting new patients |
| Watauga Orthopaedics, PLC | Physician Assistant | Past | Accepting new patients |
Locations
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Federally Qualified Health Center (FQHC)
- Chattanooga, TN
- NPI 1609961549
-
- Durable Medical Equipment & Medical Supplies
- Greeneville, TN
- NPI 1730924192
Physician Assistant
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1629277595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 EXECUTIVE PARK BLVD",
"address_2": "SUITE 201",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604632",
"telephone_number": "423-224-3250",
"fax_number": "423-224-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W RAVINE RD",
"address_2": "SUITE 8A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603847",
"telephone_number": "423-224-3210",
"fax_number": "423-224-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "RICHARD",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "1440",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1440",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.