Individual provider Active NPI

Johnathan Langston Chappell, M.D.

  • Dermatology Physician
  • Acworth, GA
National Provider Identifier
1831385897
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
056975 Issued in GA
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

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000270 GA Practitioner - Dermatology 4082637186 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
76.52
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions525
Removal of skin cancer96
Removal or shaving of skin growth119
Skin biopsy39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD036880DCMDDermatology Physician
056975GAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Chappell MD PC Dermatology CurrentSince Sep 1, 2014 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.

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

Verify at the official NPI Registry.