JACQUELINE CHAN M.D.
NPI 1356735914
Pediatrics - Pediatric Endocrinology in Augusta, GA
About Jacqueline Chan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE CHAN M.D. (NPI 1356735914) is an individual pediatric endocrinology provider in Augusta, Georgia, licensed in Georgia (079530) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Chan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Chan's NPI number?
The NPI number for Jacqueline Chan is 1356735914. It was assigned to this individual provider in the NPPES registry on March 22, 2015.
Where is Jacqueline Chan located?
Jacqueline Chan practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.
What is Jacqueline Chan's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Jacqueline Chan enrolled in Medicare?
Yes. Jacqueline Chan is registered in the Medicare PECOS enrollment system.
What insurance does Jacqueline Chan accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jacqueline Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacqueline Chan was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Chan, M.D. · NPI 1356735914
Pediatric Endocrinology physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since March 22, 2015.
## Identity
- **NPI:** 1356735914 (Entity type: Individual)
- **Enumerated:** March 22, 2015
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** 079530 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-7232
- **Phone:** (706) 721-8623
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356735914) · Data from the CMS NPPES public registry.