Jacy Brooks Chapmon

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13148 Issued in GA

Practice address

595 Towne Park Dr W Ste 200
Rincon, GA 31326-5256

Phone

(912) 785-2100

NPI assigned

Mar 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Horizon Behavioral Health, P.C.Group PAC ID 6204016611, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacy.chapmon.1@8042.direct.athenahealth.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.

• Horizon Behavioral Health, P.C.

  • Psychiatry Physician
  • Hinesville, GA
  • NPI 1891003299

  GA

  Medicare reassignment Care Compare group
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857

  GA

  Medicare reassignment Care Compare group
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  Care Compare group NPD

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1861294985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 TOWNE PARK DR W STE 200",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265256",
            "fax_number": "912-368-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 TOWNE PARK DR W STE 200",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265256",
            "telephone_number": "912-785-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMON",
        "first_name": "JACY",
        "middle_name": "BROOKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candler Medical Group, Inc. - Rincon
• Angela Christen Canfield, DDS
• Lyle Carrera, PT, DPT
• Carters Pharmacy Inc
• Michael Chambless, LPC, CCMHC, MAC, NCC
• Chatham Oral Surgery PC
• Chatham Orthopaedic Associates, PA
• Joey Lawrence Christmas, MD
• Angela Deloach Chumley, FNP
• Lia Churchill

• All providers in Rincon, GA
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.