Individual provider Active NPI

Navdeepa Chainani, MD

  • Family Medicine Physician
  • Tifton, GA
National Provider Identifier
1871804641
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63840 Issued in GA
Practice address
1610 John Orr Dr
BLDG E
Tifton, GA 31794-3682
Phone
(229) 386-5101
Fax
(229) 386-2277
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63840 GA Primary

Addresses

Primary practice location

1610 John Orr Dr
BLDG E
Tifton, GA 31794-3682

Mailing address

1610 John Orr Dr
BLDG E
Tifton, GA 31794-3682
Phone (229) 386-5101

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
I20101117001378 GA Practitioner - Family Practice 8820284714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Medical Center PCGroup PAC ID 3971799867, 4 clinicians

Practice addresses (Care Compare)

1610 John Orr Dr E
Tifton, GA 31794-3662
Phone (229) 386-5101

72 Kent Rd
Suite 4
Tifton, GA 31794-1695
Phone (229) 396-5101

Hospital & facility affiliations

  • Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Medical Center PC Family Medicine CurrentSince Jul 24, 2010 Accepting new patients
Southern OB GYN Associates P C Past Accepting new patients

Locations

72 Kent Rd
Ste 4
Tifton, GA 31794
Phone (229) 386-5101

1610 John Orr Dr
Ste E
Tifton, GA 31794
Phone (229) 386-5101

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1871804641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 JOHN ORR DR",
            "address_2": "BLDG E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943682",
            "telephone_number": "229-386-5101",
            "fax_number": "229-386-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 JOHN ORR DR",
            "address_2": "BLDG E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943682",
            "telephone_number": "229-386-5101",
            "fax_number": "229-386-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAINANI",
        "first_name": "NAVDEEPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.