Individual provider Active NPI

Geraldine Chaney, MD

  • Pediatrics Physician
  • Jackson, MS
National Provider Identifier
1699716241
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
07969 Issued in MS
Practice address
2679 Crane Ridge Dr
Suite F
Jackson, MS 39216-4997
Phone
(601) 362-7476
Fax
(601) 362-7460
NPI assigned
Jun 8, 2006
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 07969 MS Primary

Addresses

Primary practice location

2679 Crane Ridge Dr
Suite F
Jackson, MS 39216-4997

Mailing address

PO Box 9228
Jackson, MS 39286-9228
Phone (601) 362-7476

Other identifiers 1

IdentifierTypeStateIssuer
00126910MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20251202000704 MS Practitioner - Pediatric Medicine 3173016847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Mississippi School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFatter Family Medical, LLCGroup PAC ID 0648678185, 8 clinicians

Practice addresses (Care Compare)

710 Highland Colony Pkwy
Suite a
Ridgeland, MS 39157-8701
Phone (601) 398-9886

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07969MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McFatter Family Medical, LLC CurrentSince Aug 14, 2025 Accepting new patients
Central Mississippi Civic Improvement Association, Inc. Past Accepting new patients
Capital City Children and Adolescent Clinic Pediatrics Past Accepting new patients

Locations

1896 Main St
Madison, MS 39110

710 Highland Colony Pkwy
Ste A
Ridgeland, MS 39157
Phone (601) 398-9886

Interoperability endpoints

  • Direct secure messaging: geraldine.chaney@cccac.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1699716241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9228",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392869228",
            "telephone_number": "601-362-7476",
            "fax_number": "601-362-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 CRANE RIDGE DR",
            "address_2": "SUITE F",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164997",
            "telephone_number": "601-362-7476",
            "fax_number": "601-362-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "GERALDINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "07969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126910",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.