Active NPI
William E Chandler, MD
- Emergency Medicine Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 043611
- Practice address
- 417 W 3Rd Ave
Albany, GA 31701-1943 - Phone
- (229) 312-4155
- Fax
- (229) 312-4176
- NPI assigned
- Sep 21, 2005
- Last updated
- Nov 13, 2014
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 043611 | GA | Primary |
Addresses
Primary practice location
417 W 3Rd Ave
Albany, GA 31701-1943
Mailing address
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-4155
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000774419F | Medicaid | GA | |
| 364834 | Other | GA | WELLCARE |
| P00049284 | Other | GA | RAILROAD MEDICARE |
| 000774419H | Medicaid | GA | |
| 52027351001 | Other | GA | BCBS |
| 52027351-003 | Other | GA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Emergency Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Worth Medical Center, Inc | Current | Accepting new patients | |
| The Bortolazzo Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Phoebe Worth Medical Center, Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients |
Locations
2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1014 W Franklin St
Sylvester, GA 31791
Phone (229) 776-2965
807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Sandy Springs, GA
- NPI 1285686303
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Medicare Defined Swing Bed Hospital Unit
- Sylvester, GA
- NPI 1760460448
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
dba Phoebe Specialty Pharmacy
- Community/Retail Pharmacy
- Albany, GA
- NPI 1891315420
-
dba Phoebe Worth Family Medicine
- Rural Health Clinic/Center
- Sylvester, GA
- NPI 1891770764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1669468179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 W 3RD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011943",
"telephone_number": "229-312-4155",
"fax_number": "229-312-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 3RD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011943",
"telephone_number": "229-312-4155",
"fax_number": "229-312-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "WILLIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "043611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000774419F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "364834",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00049284",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000774419H",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52027351001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52027351-003",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.