MRS. SHELBY JO PRIDDY CHAPMAN PA-C NPI 1386148211

NPI Information

NPI: 1386148211
Provider Name: MRS. SHELBY JO PRIDDY CHAPMAN, PA-C
Classification: Physician Assistant - 363AM0700X
Specialization: Medical
Entity Type: Individual
PECOS Registration: Yes
Address: 205 HOSPITAL DR STE A
MC KENZIE, TN
ZIP 38201
Phone: (731) 352-7907

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NPI Details

MRS. Shelby Jo Priddy Chapman, PA-C is a medical physician assistant in Mc Kenzie, TN with 7 years of experience. MRS. Shelby Jo Priddy Chapman, PA-C NPI is 1386148211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 HOSPITAL DR STE A
MC KENZIE, TN
ZIP 38201-649
Phone: (731) 352-7907
Fax: (731) 352-4459

The NPI 1386148211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2018 and was last updated on 7/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA3652	TENNESSEE	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	363AM0700X	Physician Assistant	Medical	PA3652	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q044595	MEDICAID	TENNESSEE
2	3380640	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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