Active NPI
Donald L Chaffin Jr., M.D.
- Family Medicine Physician
- Inez, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22840
- Practice address
- 3165 Blacklog Rd
Inez, KY 41224-9113 - Phone
- (606) 298-7772
- Fax
- (606) 298-7564
- NPI assigned
- Jun 14, 2006
- Last updated
- May 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22840 | KY | Primary |
Addresses
Primary practice location
3165 Blacklog Rd
Inez, KY 41224-9113
Mailing address
PO Box 1311
Inez, KY 41224-1311
Phone (606) 298-7772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64228406 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
64 Kirk PLZ
Inez, KY 41224-6501
Phone (606) 298-2520
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin County Rural Health Clinic PLLC | Current | Accepting new patients | |
| Blacklog Apothecary Inc | Past | Accepting new patients |
Locations
64 Kirk Plz
Inez, KY 41224
Phone (606) 298-2520
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Inez, KY
- NPI 1316363112
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highlands ARH Regional Medical Center
- General Acute Care Hospital
- Prestonsburg, KY
- NPI 1043878325
-
dba ARH Medical and Surgical Associates - Highlands
- Multi-Specialty Clinic/Center
- Prestonsburg, KY
- NPI 1700445319
Hospital
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
dba Three Rivers Medical Center
- General Acute Care Hospital
- Louisa, KY
- NPI 1063484483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1902849912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1311",
"city": "INEZ",
"state": "KY",
"postal_code": "412241311",
"telephone_number": "606-298-7772",
"fax_number": "606-298-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3165 BLACKLOG RD",
"city": "INEZ",
"state": "KY",
"postal_code": "412249113",
"telephone_number": "606-298-7772",
"fax_number": "606-298-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFFIN",
"first_name": "DONALD",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "22840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64228406",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inez, KY
- Big Sandy Health Care, Inc (Inez Elementary School Clinic)
- Big Sandy Health Care, Inc (Martin County High School Clinic)
- Blacklog Apothecary Inc (Medicine Shoppe)
- Ashley Blair
- Bombshell Aesthetics & Weight Loss Clinic PLLC
- Community Alternatives Kentucky
- Consolidated Health Systems (Martin County Community Care Clinic)
- Ronnie Allen Cook, DC
- Catherine Marie Corbett
- Kayla Corbiere
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.