Individual provider Active NPI

Thomas Corey Chatfield, PA-C

  • Physician Assistant
  • Monticello, FL
National Provider Identifier
1740996958
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9116971 Issued in FL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1206276OtherNCCPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307003309 FL Practitioner - Physician Assistant 3870966161 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
9116971FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 10, 2023 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 10, 2023 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

  • Direct secure messaging: tchatfield22043@tallahasseememorial.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.