Ashley Cooper Chancellor, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

212346 Issued in GA

Practice address

1707 Watson Blvd
Warner Robins, GA 31093-3606

Phone

(478) 929-8030

Fax

(478) 929-0895

NPI assigned

Oct 11, 2017

Reactivated

Nov 28, 2022

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBFHCA

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.

• Central Georgia Health Care Center, PC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1689687915
  Medicare reassignment NPD
• Kevin J. Baggett, DO,PC

  • Family Medicine Physician
  • Warner Robins, GA
  • NPI 1558372698
  Medicare reassignment NPD
• Central Georgia Heart Institue, LLC

  • Cardiovascular Disease Physician
  • Warner Robins, GA
  • NPI 1659313153
  NPD

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1669982054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933606",
            "telephone_number": "478-929-8030",
            "fax_number": "478-929-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933606",
            "telephone_number": "478-929-8030",
            "fax_number": "478-929-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCELLOR",
        "first_name": "ASHLEY",
        "middle_name": "COOPER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "deactivation_date": "2022-08-31",
        "reactivation_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "212346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America-Georgia PC
• Eugenia Chalfa
• Lee R Chambers, LCSW, MAC,CAADC, RAS
• Jada Latrice Chambliss, RN
• Sara Madyson Chance
• Leondreayah Chandler
• Carnaria R. Chapman
• Melanie Chapman, CPS, CPS-P, CPS-WH
• Sandra P Charles, ICADC, CADCII, CCS
• Shaquan Charles

• Family Nurse Practitioner in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.

Verify at the official NPI Registry.