Crandall Menton Chambers, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

43182 Issued in GA

Practice address

811 22ND St
Columbus, GA 31904-8822

Phone

(706) 323-1054

Fax

(706) 327-6270

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Meharry Medical College School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crandall M. Chambers, M.D., LLCGroup PAC ID 5193982049, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crandall.chambers@cmcham.direct.medconnect-inc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crandall M. Chambers, M.D., LLC

  • Obstetrics Physician
  • Columbus, GA
  • NPI 1396953790

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Crossroads Treatment Center of Calhoun, PC

  • Methadone Clinic
  • Calhoun, GA
  • NPI 1932626892
  NPD
• Crossroads Treatment Center of Northwest Georgia

  • Community/Behavioral Health Agency
  • Ringgold, GA
  • NPI 1356799688
  NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1831238427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 22ND ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048822",
            "telephone_number": "706-323-1054",
            "fax_number": "706-327-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 22ND ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048822",
            "telephone_number": "706-323-1054",
            "fax_number": "706-327-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5009 Riverchase Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Phenix City",
            "state": "AL",
            "postal_code": "368677425",
            "country_code": "US",
            "telephone_number": "334-214-9766",
            "fax_number": "334-448-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "CRANDALL",
        "middle_name": "MENTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "043182",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "43182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000756401B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099336633",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anneliese Chai, PA-C
• Vincent M Chai
• Jessica Chairez, RBT
• Chauney Janielle Challenger
• Brittany Chambers
• Julius Matthews Chambers, BS PSYCHOLOGY
• Latoya Chambers
• Michael Anthony Chambers
• Wesley Carroll Chambers, M.D.
• Cynthia Denise Champion, EDUCATOR

• Obstetrics & Gynecology Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.