Paul Stephen Chancellor, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN123076 Issued in GA

Practice address

3651 Wheeler Rd
Augusta, GA 30909-6521

Phone

(706) 737-9250

Fax

(706) 733-0697

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Medical University of South Carolina College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Piedmont Anesthesia LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1700474244
  Medicare reassignment Care Compare group NPD
• Mulkey Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1417288069
  Medicare reassignment NPD
• Digestive Disease Group PA

  • Gastroenterology Physician
  • Greenwood, SC
  • NPI 1891788907
  Medicare reassignment NPD
• Interventional Spine and Pain Management Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Conyers, GA
  • NPI 1750420147
  NPD
• Self Regional Healthcare Partners

  • Critical Access Hospital
  • Edgefield, SC
  • NPI 1922582105
  NPD
• Anesthesia and Pain Medicine

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1265482582
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1861459976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043804",
            "telephone_number": "706-737-9250",
            "fax_number": "706-733-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096521",
            "telephone_number": "706-737-9250",
            "fax_number": "706-733-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCELLOR",
        "first_name": "PAUL",
        "middle_name": "STEPHEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN123076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAN502",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00169052",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397551058A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel C. N. Chan, DDS
• Jacqueline Chan, M.D.
• Samuel N. Chan, M.D.
• C Katherine Chance, MD
• Waltrina Chance, COTA
• Gotam Chand, MD
• Andrew Durbin Chandler, DDS
• Arthur Bleakley Chandler Jr., M.D.
• Christopher Chandler
• Raguraj Chandradevan, MD

• Certified Registered Nurse Anesthetist in Augusta, GA
• Providers in Augusta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.