Individual provider Active NPI

Richard K Chase, D.O.

  • Family Medicine Physician
  • Oglethorpe, GA
National Provider Identifier
1699718411
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017784 Issued in GA
Practice address
300 Medical Court
Oglethorpe, GA 31068-3706
Phone
(478) 472-8178
Fax
(478) 472-3289
NPI assigned
Jun 13, 2006
Last updated
Oct 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 017784 GA
Family Medicine Physician 207Q00000X 017784 GA Primary

Addresses

Primary practice location

300 Medical Court
Oglethorpe, GA 31068-3706

Mailing address

PO Box 801
Oglethorpe, GA 31068-0801
Phone (478) 472-6713

Other identifiers 1

IdentifierTypeStateIssuer
000113847GMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000711 GA Practitioner - Family Practice 4486603321 Reassigns benefits to 1 organization
Practice locations: Ideal, GA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Careconnect Health IncGroup PAC ID 7810980794, 26 clinicians

Practice addresses (Care Compare)

510 Alston St
Suite B
Richland, GA 31825-6012
Phone (229) 887-3324

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017784GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Feb 18, 2013 Accepting new patients
Careconnect Health, Inc. CurrentSince Feb 18, 2013 Accepting new patients
Miona Geriatric & Dementia Center, LLC Past Accepting new patients
Flint River Medi Cal Group, LLC Past Accepting new patients
Plains Medical Center, Inc, Family Medicine Past Accepting new patients
Flint River Primary Care Family Medicine Past Accepting new patients
Oaks Nursing Home Inc Past Accepting new patients

Locations (25 of 42)

101 Mayo St
Ste A
Americus, GA 31709
Phone (229) 924-4647

205 Rees St
Americus, GA 31709
Phone (229) 928-4755

206 E Lamar St
Americus, GA 31709
Phone (229) 924-6648

603 E Lamar St
Americus, GA 31709
Phone (229) 928-3444

609 E Lamar St
Americus, GA 31709
Phone (229) 924-8636

618 E Lamar St
Americus, GA 31709
Phone (229) 924-4808

317 E Washington Ave
Ashburn, GA 31714
Phone (229) 567-4414

80 W Main St
Butler, GA 31006
Phone (478) 862-5453

6005 Watson Blvd
Ste 100
Byron, GA 31008
Phone (478) 699-1028

6011 Watson Blvd
Ste 380
Byron, GA 31008
Phone (478) 304-3006

109 S 3rd St
Cochran, GA 31014
Phone (478) 934-4988

1007 E 16th Ave
Ste A
Cordele, GA 31015
Phone (229) 273-1716

110 E 13th Ave
Cordele, GA 31015
Phone (229) 273-0359

215 E 13th Ave
Cordele, GA 31015
Phone (229) 276-0100

412 E 4th Ave
Cordele, GA 31015
Phone (229) 273-1243

711 E 16th Ave
Cordele, GA 31015
Phone (229) 271-9330

712 N 7th St
Cordele, GA 31015
Phone (229) 276-0052

298 US Highway 520
Cusseta, GA 31805
Phone (706) 989-1050

125 McDonald Ave
Cuthbert, GA 39840
Phone (229) 732-3721

771 Roundtree Dr SW
#A
Dawson, GA 39842
Phone (229) 270-1905

817 Griffin Ave
Eastman, GA 31023
Phone (478) 374-1801

41 E Oglethorpe St
Ellaville, GA 31806
Phone (229) 937-2440

130 N Lee St
Forsyth, GA 31029
Phone (478) 974-6080

209 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 822-0054

23 Old School Rd
Georgetown, GA 39854
Phone (229) 334-9353

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1699718411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "310680801",
            "telephone_number": "478-472-6713",
            "fax_number": "478-472-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL COURT",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "310683706",
            "telephone_number": "478-472-8178",
            "fax_number": "478-472-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "RICHARD",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "017784",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "017784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000113847G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.