NEWTON W CHISM JR. (NPI# 1366482507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366482507 |
| Entity Type | Individual |
| Full Name | NEWTON W CHISM JR. |
| Credential | MD |
| Practice Address |
2400 Bellevue Rd #23 Erin Office Park Dublin GA 31021-2885 |
| Mailing Address |
2400 Bellevue Rd Ste 23 Dublin GA 31021-2888 |
| Practice Telephone | 4782728580 |
| Practice Fax Number | 4782750012 |
| Mailing Telephone | 4782728580 |
| Mailing Fax Number | 4782750012 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 017442 | GA | Other Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
017442 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00082233A | 05 | |
| GA | 300030912A | 05 |
| Street Address |
2400 BELLEVUE RD #23 ERIN OFFICE PARK |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167523 | Tonya B Nicholson | Advanced Practice Midwife | 2400 Bellevue Rd, Erin Office Suite 26, Dublin, GA 31021-2885 | 2005-07-13 |
| 1619576253 | Rachel Westerbeck | Physician Assistant | 2400 Bellevue Rd, Dublin, GA 31021-2885 | 2020-10-24 |
| 1750906103 | Brandon Brown | Dentist | 2400 Bellevue Rd, Dublin, GA 31021-2885 | 2020-06-11 |
| 1942747274 | Jill Pavesich | Nurse Practitioner | 2400 Bellevue Rd, Suite 26, Dublin, GA 31021-2885 | 2017-01-25 |
| 1457759508 | Family Dentistry of Dublin, P.C. | Dentist | 2400 Bellevue Rd, #24, Dublin, GA 31021-2885 | 2014-12-05 |
| 1851724256 | Billy H Moses Jr Md LLC | Surgery | 2400 Bellevue Rd, #11 Erin Office Park, Dublin, GA 31021-2885 | 2013-08-21 |
| 1508124249 | Dublin Womens Center | Obstetrics & Gynecology | 2400 Bellevue Rd, Erin Office Park 26, Dublin, GA 31021-2885 | 2012-05-01 |
| 1396023404 | Dublin Dialysis Center LLC | Clinic/Center | 2400 Bellevue Rd, Suite 29a, Dublin, GA 31021-2885 | 2011-07-25 |
| 1659670982 | Kathryn Falk Johnson | Optometrist | 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021-2885 | 2011-03-25 |
| 1770894867 | Felicia Fountain | Ophthalmology | 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021-2885 | 2010-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023564036 | Brooke Holdgreve | Specialist | 6341 Kendall Ridge Blvd, Dublin, OH 43016-9025 | 2016-08-30 |
| 1568815538 | Dawn Wolf Lewis | Specialist | 3832 Gabrielle Dr, Dublin, OH 43016-7282 | 2016-07-14 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1336532829 | Ecosystems Pest Elimination, Inc. | Specialist | 4899 Rays Cir, Dublin, OH 43016-6070 | 2015-03-09 |
| 1336530393 | Amg Associates LLC | Specialist | 6112 Parkcenter Cir, Dublin, OH 43017 | 2015-02-12 |
| 1891190674 | Curepoint LLC | Specialist | 2406 Bellevue Avenue Suite #7, Dublin, GA 31201 | 2014-10-23 |
| 1508123480 | Laurens Internal Medicine | Specialist | 108 Corporate Sq, Suite B, Dublin, GA 31021-4250 | 2012-04-18 |
| 1407091937 | Bonnie M Brotherton | Specialist | 2900 Martin Rd, Dublin, OH 43017-1448 | 2008-12-12 |
| 1306038807 | Dublin Orthopaedics & Rehabilitation, Inc | Specialist | 2400 Bellevue Rd Ste 15, Dublin, GA 31021-2894 | 2007-08-17 |
| 1609916337 | Dublin Ob-gyn & Associates, P.C. | Specialist | 23 Erin Office Park, 2400 Bellevue Road, Dublin, GA 31021-2866 | 2007-02-08 |
| Find all providers in DUBLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.