Individual provider Active NPI

Wendy Blair Chipman, FNP-BC

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1932664612
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN224459 Issued in GA
Practice address
1538 13TH Ave Ste a
Columbus, GA 31901-2544
Phone
(706) 323-4000
Fax
(706) 323-4848
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN224459 GA Primary

Addresses

Primary practice location

1538 13TH Ave Ste a
Columbus, GA 31901-2544

Mailing address

707 Center St Ste 110
Columbus, GA 31901-1575
Phone (706) 494-4300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715002601 GA Practitioner - Nurse Practitioner 9436573045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jul 27, 2020 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jul 27, 2020 Accepting new patients

Locations

2000 10th Ave
Ste 370
Columbus, GA 31901
Phone (706) 494-1551

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

1538 13th Ave
Ste A
Columbus, GA 31901
Phone (706) 323-4000

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.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1932664612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CENTER ST STE 110",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011575",
            "telephone_number": "706-494-4300",
            "fax_number": "706-660-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 13TH AVE STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012544",
            "telephone_number": "706-323-4000",
            "fax_number": "706-323-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPMAN",
        "first_name": "WENDY",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN224459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.