Individual provider Active NPI

James Earl Chambers, PA-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1760425789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002772 Issued in GA
Practice address
430 Centennial Olympic Park Dr NW
Atlanta, GA 30313-2203
Phone
(404) 607-1002
Fax
(404) 607-1031
NPI assigned
Jun 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002772 GA Primary

Addresses

Primary practice location

430 Centennial Olympic Park Dr NW
Atlanta, GA 30313-2203

Mailing address

PO Box 54186
Atlanta, GA 30308-0186
Phone (678) 596-4204

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001082 GA Practitioner - Physician Assistant 2961306691 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002772GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Community Healthcare CurrentSince Nov 23, 2010 Accepting new patients
Friendship Community Healthcare Inc Past Accepting new patients
Wellstreet of Georgia PC PastSince Nov 24, 2023 Accepting new patients
Health Education Assessment and Leadership, Inc Past Accepting new patients

Locations

430 Centennial Olympic Park Dr NW
Atlanta, GA 30313
Phone (404) 607-1002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJFHBD

Organizations & group practices 7

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760425789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54186",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303080186",
            "telephone_number": "678-596-4204",
            "fax_number": "404-607-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CENTENNIAL OLYMPIC PARK DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303132203",
            "telephone_number": "404-607-1002",
            "fax_number": "404-607-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "JAMES",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.