J Chappell MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

J CHAPPELL MD PC

Practice address

4450 Calibre Crossings
Suite 1208
Acworth, GA 30101

Phone

(678) 505-8030

Fax

(678) 505-8263

NPI assigned

Aug 20, 2014

Organization subpart

No

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

Authorized official

Name

Johnathan L. Chappell, MDNPI 1831385897

Title

Authorized Rep/Owner

Phone

(678) 505-8030

Specialties & licenses 1

Addresses

Other names 1

• Acworth Procedural Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnathan Langston Chappell, M.D.

  • Dermatology Physician
  • Acworth, GA
  • NPI 1831385897
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1841699337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE CROSSINGS",
            "address_2": "SUITE 1208",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101",
            "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 CROSSINGS",
            "address_2": "SUITE 1208",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101",
            "telephone_number": "678-505-8030",
            "fax_number": "678-505-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CHAPPELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "678-505-8030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acworth Procedural Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Charles Isbell, PMHNP-BC
• Destiny Murray Isbell, DMD
• J&F Solutions Management Group, LLC.
• Kevin Justin Jablonsky, RNFA
• Jackson Family Therapy and Counseling
• Heather Jackson, MS, CCC-SLP
• Mary Sonya Jackson

• Dermatology Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.