Chadwick Marshall Palmer, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

063208 Issued in GA

Practice address

5875 Thompson Mill Rd
Suite 280
Hoschton, GA 30548-4133

Phone

(770) 848-6190

Fax

(770) 848-5367

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Board of Regents of the University System of Georgia

  • Audiologist
  • Athens, GA
  • NPI 1376640557
  Medicare reassignment NPD
• Board of Regents of the University System of Georgia

  • Pharmacy
  • Athens, GA
  • NPI 1629394820
  NPD
• Board of Regents of the University System of Georgia

  • Student Health Clinic/Center
  • Athens, GA
  • NPI 1811098817
  NPD
• University Health Center, University of Ga Health Center Pharmacy

  • Pharmacist
  • Athens, GA
  • NPI 1558435784
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1992916753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S ENOTA DR NE",
            "address_2": "STE Q",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012400",
            "telephone_number": "770-219-8420",
            "fax_number": "770-219-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 THOMPSON MILL RD",
            "address_2": "SUITE 280",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305484133",
            "telephone_number": "770-848-6190",
            "fax_number": "770-848-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CHADWICK",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "063208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Psychological Services LLC
• Tiffany O'Donnell
• Kasie Oliver
• Our Best Healthcare Services LLC
• Ovram Inc.
• Parkmium LLC
• Jace Harbin Payne, PT, DPT
• Thomas James Payne, MSW
• Peach State EMS, LLC
• Jennica Ramey Pridemore, PT, DPT

• Sports Medicine (Family Medicine) Physician in Hoschton, GA
• Providers in Hoschton, GA by specialty
• Sports Medicine (Family Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.