Individual provider Active NPI

Chance M Witt, MD

  • Clinical Cardiac Electrophysiology Physician
  • Mobile, AL
National Provider Identifier
1689960478
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
37781 Issued in AL
Practice address
6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone
(251) 607-9797
Fax
(251) 607-7696
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 37781 AL
Clinical Cardiac Electrophysiology Physician 207RC0001X 37781 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758

Mailing address

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Other practice location 1

1720 Spring Hill Ave Ste 101
Mobile, AL 36604-1417
Phone (251) 607-9797

Other practice location 2

3715 Dauphin St Ste 4400
Mobile, AL 36608-1782
Phone (251) 607-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190223000024 AL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3870749666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6701 Airport Blvd
Suite D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Hospital & facility affiliations

  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
Cardiology Associates of Mobile Inc Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
USA Health HCA Providence Hospital LLC Past Accepting new patients

Locations

3715 Dauphin St
Ste 4400
Mobile, AL 36608
Phone (251) 607-9797

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

1720 Spring Hill Ave
Ste 101
Mobile, AL 36604
Phone (251) 438-4600

3715 Dauphin St
Ste 1100
Mobile, AL 36608
Phone (251) 460-0078

Interoperability endpoints

  • FHIR API: https://fhir.cardassoc.com/R4/open-R4
  • Direct secure messaging: chancewitt@cam.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1689960478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Spring Hill Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041417",
            "country_code": "US",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3715 Dauphin St Ste 4400",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081782",
            "country_code": "US",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "CHANCE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "37781",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AL",
            "license": "37781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.