Individual provider Active NPI

Jennifer N Chapot, PA

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1770733289
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12212 Issued in GA
Practice address
3030 Airport East Rd
Macon, GA 31216-7984
Phone
(478) 785-6084
Fax
(414) 622-3867
NPI assigned
Sep 22, 2008
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08334 TX
Physician Assistant 363A00000X 0110007908 VA
Physician Assistant 363A00000X 12212 GA Primary

Addresses

Primary practice location

3030 Airport East Rd
Macon, GA 31216-7984

Mailing address

3030 Airport East Rd
Macon, GA 31216-7984
Phone (478) 785-6084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, VA, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140415000915 TX Practitioner - Physician Assistant 6406088939 Reassigns benefits to 1 organization
I20190109003104 FL Practitioner - Physician Assistant 6406088939
I20210812003074 VA Practitioner - Physician Assistant 6406088939 Reassigns benefits to 1 organization
I20221122000232 DC Practitioner - Physician Assistant 6406088939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geoff R Weikle DO PLLCGroup PAC ID 8820497480, 11 clinicians

Practice addresses (Care Compare)

12446 W Ave
Suite 200
San Antonio, TX 78216-2530
Phone (210) 525-1668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12212GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Spine Specialists, PLLC CurrentSince Jun 28, 2021 Accepting new patients
Quad/Med, LLC PastSince Jun 16, 2024 Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4604 Spotsylvania Pkwy
Ste 300
Fredericksburg, VA 22408
Phone (540) 423-6600

8650 Sudley Rd
Ste 315
Manassas, VA 20110
Phone (703) 878-0965

9625 Surveyor Ct
Ste 320
Manassas, VA 20110
Phone (571) 208-0585

Interoperability endpoints

  • Direct secure messaging: jennifer.chapot.1@15074.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1770733289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 AIRPORT EAST RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312167984",
            "telephone_number": "478-785-6084",
            "fax_number": "414-622-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 AIRPORT EAST RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312167984",
            "telephone_number": "478-785-6084",
            "fax_number": "414-622-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPOT",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08334",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007908",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.