Jack M Chapman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

035393 Issued in GA

Practice address

2061 Beverly Rd
Gainesville, GA 30501-2034

Phone

(770) 532-4444

Fax

(770) 535-1852

NPI assigned

Oct 12, 2005

Last updated

Aug 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Medical College of Georgia School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gainesville Eye Associates LLCGroup PAC ID 2860486438, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jchapman@gainesvilleeye.mdlogic.direct-ci.com

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.

• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Gainesville, GA
  • NPI 1285617647

  NC

  Medicare reassignment Care Compare group NPD
• Gainesville Eye Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, GA
  • NPI 1225096134
  NPD Authorized official
• Gainesville Eye Associates LLC

  dba North Georgia Eye Associates

  • Ophthalmology Physician
  • Braselton, GA
  • NPI 1821875774
  NPD

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1689662751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-532-4444",
            "fax_number": "770-535-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-532-4444",
            "fax_number": "770-535-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JACK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "035393",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200300015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00508824A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914925",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalabh Chandra, MD
• Tonya Chang
• Angelo W Changas, DO
• Tina T Chaphe, AGACNP
• Charlie Turk Chapman, OTR/L, CPAM
• Julie Mathis Chapman, PA
• Laurel Chapman, CADC-II
• Patricia Luree Chapman, FNP-BC
• Payton Chapman, PT, DPT
• Cameron Jeffery Chappell, DO

• Ophthalmology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.

Verify at the official NPI Registry.