Active NPI
Lisa Michelle Chatman, D.D.S.
- Dentist
- Valdosta, GA
National Provider Identifier
1932239225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN011940
- Practice address
- 4258 Spring Branch Cir
Valdosta, GA 31601-0605 - Phone
- (770) 310-9000
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN011940 | GA | Primary |
Addresses
Primary practice location
4258 Spring Branch Cir
Valdosta, GA 31601-0605
Mailing address
4258 Spring Branch Cir
Valdosta, GA 31601-0605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000957569A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN011940 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1932239225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 SPRING BRANCH CIR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316010605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4258 SPRING BRANCH CIR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316010605",
"telephone_number": "770-310-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATMAN",
"first_name": "LISA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN011940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000957569A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.