John Mac Chandler, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD.019412 Issued in LA

Practice address

815 S Pine St
Vivian, LA 71082

Phone

(318) 375-3235

Fax

(318) 375-5938

NPI assigned

Jun 29, 2006

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Emergency MedicineAlso: Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Caddo Hospital Service DistrictGroup PAC ID 4385544584, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Caddo Medical Center Hospital, Vivian, LA, CCN 191304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnchandler@ncmcla.cernerdirect.com

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.

• Benton Medical

  • Clinic/Center
  • Benton, LA
  • NPI 1932585841
  Medicare reassignment NPD
• North Caddo Hospital Service District

  dba North Caddo Medical Center

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684

  Emergency Medicine

  Medicare reassignment NPD
• North Caddo Hospital Service District

  dba Plain Dealing Medical Clinic

  • Family Medicine Physician
  • Plain Dealing, LA
  • NPI 1477798668
  Medicare reassignment NPD
• Blanchard Medical

  • Rural Health Clinic/Center
  • Shreveport, LA
  • NPI 1760089791
  Medicare reassignment
• North Caddo Hospital Service District

  dba NCMC Medical & Surgical Clinic

  • Rural Health Clinic/Center
  • Vivian, LA
  • NPI 1013181866

  Family Medicine

  NPD
• Carlisle Health & Wellness LLC

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1114894169
  NPD (past)
• Ess Region II LLC

  • Hospitalist Physician
  • Glen Rose, TX
  • NPI 1720262389
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Caddo Hospital Service District

  dba North Caddo Medical Center

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1801824651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "71082",
            "telephone_number": "318-375-3235",
            "fax_number": "318-375-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "71082",
            "telephone_number": "318-375-3235",
            "fax_number": "318-375-5938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Burt Blvd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "LA",
            "postal_code": "710064900",
            "country_code": "US",
            "telephone_number": "318-965-5017",
            "fax_number": "318-965-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Forrest Rd",
            "address_purpose": "LOCATION",
            "city": "Plain Dealing",
            "state": "LA",
            "postal_code": "710644031",
            "country_code": "US",
            "telephone_number": "318-326-7272",
            "fax_number": "318-326-7282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823353",
            "country_code": "US",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5948 N Market St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711072017",
            "country_code": "US",
            "telephone_number": "318-375-0001",
            "fax_number": "318-375-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "JOHN",
        "middle_name": "MAC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.019412",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "019412",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.019412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD.019412",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900028",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty A Bradford
• Haley Bradford, PHARMD
• Andrea Lynn Braniff, LDN, RD
• Kasey Harder Brazelton, M.S., CCC-SLP
• Grant Breeland, MD
• Viola Combs
• Community Reference Lab
• Community RX
• Sandra T Dennis, MHS
• Linda Dillard

• Emergency Medicine Physician in Vivian, LA
• Providers in Vivian, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.

Verify at the official NPI Registry.