| Pride R Chapman, MD | |
|
104 Fairview Park Dr, Dublin, GA 31021 | |
| (478) 272-1366 | |
| (478) 277-1922 |
| Full Name | Pride R Chapman |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 32 Years |
| Location | 104 Fairview Park Dr, Dublin, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043298524 | NPI | - | NPPES |
| 000864036D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME150223 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 048495 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview Medical Center | Birmingham, AL | Hospital |
| D W Mcmillan Memorial Hospital | Brewton, AL | Hospital |
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| D.w. Mcmillan Memorial Hospital | 3072558378 | 18 |
| Oak Mountain Group Services, Llc | 3678886256 | 62 |
| Galen Inpatient Physicians Pc | 3678464633 | 1045 |
| Entity Name | D.W. Mcmillan Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497852735 PECOS PAC ID: 3072558378 Enrollment ID: O20051228000338 |
| Entity Name | Oak Mountain Group Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366840761 PECOS PAC ID: 3678886256 Enrollment ID: O20150727000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Pride R Chapman, MD Po Box 407, Vidalia, GA 30475-0407 Ph: (478) 272-1366 | Pride R Chapman, MD 104 Fairview Park Dr, Dublin, GA 31021 Ph: (478) 272-1366 |
Dr. Raman S.p Damineni, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 Fax: 478-274-5508 |
Tirso A Castillo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-275-2322 |
Andre Christopher Lewis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd., Hospitalists At Fairview Park Llc, Dublin, GA 31021 Phone: 478-274-3925 Fax: 478-274-3663 |
Matthew B Grundfast, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-277-1929 Fax: 478-304-1468 |
Dr. Meenakshi Mohan Ram, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 |
Natalie Rodziewicz Guinn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 29b, Dublin, GA 31021 Phone: 478-272-9688 |
Gary S Griffin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Saint Andrews Dr, Dublin, GA 31021 Phone: 801-554-2349 |