Active NPI
Johnathan Langston Chappell, M.D.
- Dermatology Physician
- Acworth, GA
National Provider Identifier
1831385897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 056975
- Practice address
- 4450 Calibre Xing NW
Suite 1208
Acworth, GA 30101-4103 - Phone
- (678) 505-8030
- Fax
- (678) 505-8263
- NPI assigned
- Sep 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 056975 | GA | Primary |
| Dermatology Physician | 207N00000X | MD036880 | DC | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 056975 | GA | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 056975 | GA | |
| Pediatric Dermatology Physician | 207NP0225X | 056975 | GA | |
| Procedural Dermatology Physician | 207NS0135X | 056975 | GA | |
| General Practice Physician | 208D00000X | 056975 | GA | |
| Dermatopathology Physician | 207ND0900X | 056975 | GA |
Addresses
Primary practice location
4450 Calibre Xing NW
Suite 1208
Acworth, GA 30101-4103
Mailing address
4450 Calibre Xing NW
Suite 1208
Acworth, GA 30101-4103
Phone (678) 505-8030
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Morehouse School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4450 Calibre Crossing
Suite 1208
Acworth, GA 30101-4104
4450 Calibre Xing NW
Suite 1208
Acworth, GA 30101-4104
Phone (678) 505-8030
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.19 of 100
- Quality
- 76.52
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 22 |
| Removal of skin lesions | 525 |
| Removal of skin cancer | 96 |
| Removal or shaving of skin growth | 119 |
| Skin biopsy | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036880 | DC | MD | Dermatology Physician |
| 056975 | GA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Chappell MD PC | Dermatology | Current | Accepting new patients |
| Wesley S Wilborn MD PC | Dermatology | Past | Accepting new patients |
Locations
4450 Calibre Xing NW
Ste 1208
Acworth, GA 30101
Phone (678) 505-8030
Organizations & group practices 2
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.
-
- Dermatology Physician
- Acworth, GA
- NPI 1841699337
-
- Dermatology Physician
- Atlanta, GA
- NPI 1750554978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1831385897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 CALIBRE XING NW",
"address_2": "SUITE 1208",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014103",
"telephone_number": "678-505-8030",
"fax_number": "678-505-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 CALIBRE XING NW",
"address_2": "SUITE 1208",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014103",
"telephone_number": "678-505-8030",
"fax_number": "678-505-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELL",
"first_name": "JOHNATHAN",
"middle_name": "LANGSTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-23",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "056975",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "DC",
"license": "MD036880",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "GA",
"license": "056975",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "GA",
"license": "056975",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "GA",
"license": "056975",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "GA",
"license": "056975",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "056975",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "GA",
"license": "056975",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.