Individual provider Active NPI

Blair Chance, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Madison, AL
National Provider Identifier
1992152607
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
36497 Issued in AL
Practice address
7583 Wall Triana Hwy
Madison, AL 35757-8327
Phone
(256) 830-5777
NPI assigned
May 23, 2016
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 36497 AL Primary

Addresses

Primary practice location

7583 Wall Triana Hwy
Madison, AL 35757-8327

Mailing address

7583 Wall Triana Hwy
Madison, AL 35757-8327
Phone (256) 830-5777

Other practice location 1

700 Airport Rd SW Ste D
Huntsville, AL 35802-4360
Phone (256) 429-4915

Other practice location 2

2139 Winchester Rd NE Ste C
Huntsville, AL 35811-9804
Phone (256) 489-9015

Other names 1

  • Blair Chance Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blair.chance.1@3038.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200618002227 AL Practitioner - Family Practice 1759679095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System Crestwood Physicians, LLCGroup PAC ID 8628546397, 33 clinicians
Crestwood Physician Services, LLCGroup PAC ID 3476735648, 38 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

2139 Winchester Rd NE
Suite C
Huntsville, AL 35811-9804
Phone (256) 489-9015

700 Airport Rd SW
Suite D
Huntsville, AL 35802-4360
Phone (256) 429-4533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36497ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Urgent Care, LLC CurrentSince Jan 15, 2021 Accepting new patients
Crestwood Physician Services, LLC CurrentSince Aug 2, 2021 Accepting new patients
Urgent Care for Children, PLLC PastSince Oct 11, 2020 Accepting new patients
Urgent Medcare, Inc. PastSince May 1, 2020 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 880-4177

2139 Winchester Rd NE
Ste C
Huntsville, AL 35811
Phone (256) 489-9015

700 Airport Rd SW
Ste D
Huntsville, AL 35802
Phone (256) 429-4526

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Interoperability endpoints

  • Direct secure messaging: blair.chance.1@3038.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1992152607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7583 WALL TRIANA HWY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357578327",
            "telephone_number": "256-830-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7583 WALL TRIANA HWY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357578327",
            "telephone_number": "256-830-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Airport Rd SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358024360",
            "country_code": "US",
            "telephone_number": "256-429-4915",
            "fax_number": "256-429-4507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2139 Winchester Rd NE Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358119804",
            "country_code": "US",
            "telephone_number": "256-489-9015",
            "fax_number": "256-489-9087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "BLAIR",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AL",
            "license": "36497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blair.chance.1@3038.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR DIRECT ADDRESS",
            "address_1": "2139 Winchester Rd NE Ste C",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358119804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "CHANCE",
            "credential": "MD, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.