Active NPI
Thomas Corey Chatfield, PA-C
- Physician Assistant
- Monticello, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9116971
- Practice address
- 32 N White Oak Dr
Monticello, FL 32344-7702 - Phone
- (850) 570-3967
- Fax
- (850) 570-3967
- NPI assigned
- Jan 31, 2023
- Last updated
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9116971 | FL | Primary |
Addresses
Primary practice location
32 N White Oak Dr
Monticello, FL 32344-7702
Mailing address
32 N White Oak Dr
Monticello, FL 32344-7702
Phone (850) 570-3967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1206276 | Other | NCCPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Medical Dr
Tallahassee, FL 32308-4646
Phone (850) 216-0100
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-1155
1401 Centerville Rd
Tallahassee, FL 32308-4639
15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone (850) 926-7105
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Phone (850) 431-5001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9116971 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105
1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243
Interoperability endpoints
- tchatfield22043@tallahasseememorial.direct-ci.com
- thomaschatfield@tmhpp2.allscriptsdirect.net
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
dba TMH Physician Partners
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
-
dba TMH Physician Partners Heart Failure Clinic
- Cardiovascular Disease Physician
- Tallahassee, FL
- NPI 1619536190
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1740996958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 N WHITE OAK DR",
"city": "MONTICELLO",
"state": "FL",
"postal_code": "323447702",
"telephone_number": "850-570-3967",
"fax_number": "850-570-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 N WHITE OAK DR",
"city": "MONTICELLO",
"state": "FL",
"postal_code": "323447702",
"telephone_number": "850-570-3967",
"fax_number": "850-570-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATFIELD",
"first_name": "THOMAS",
"middle_name": "COREY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9116971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1206276",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, FL
- Jeradine Campbell
- Caring Hearts in-Home Care
- Michael James Carney, DDS
- Cashanda M. Coleman, LLC
- Center for Aging and Rehabilitation of Jefferson County Inc
- Cherishable Moments in Home Care LLC
- CL Golden LLC (Cross Landings Health and Rehabilitation Center)
- Richard Clark II, MA
- Kortney Clinton, LCSW
- Complete Medical LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.