COBRA CHAMBLEE (DO) – Family Medicine Physician, NPI 1366461741
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
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Provider Addresses for COBRA CHAMBLEE (DO)
505 W 15TH ST APT A
HEREFORD, TX 790452824
Phone: (870) 377-4764
Fax: (940) 627-7597
Type: Mailing
300, West Halsell Street, Dimmitt, Castro County, Texas, 79027, United States
DIMMITT, TX 790271846
Phone: (806) 647-2194
Fax: (806) 647-0700
Type: Location
PO BOX 310
JETMORE, KS 678540310
Phone: (620) 357-8361
Fax: (620) 357-6134
Type: Mailing
810 W BRAMLEY ST
JETMORE, KS 678549320
Phone: (620) 357-8354
Fax: (620) 357-6460
Type: Location
809 W Bramley St
Jetmore, KS 678549320
Phone: (620) 357-8361
Fax: (620) 357-6134
Type: Location
1020 LAKE SUMTER LNDG
THE VILLAGES, FL 321622699
Phone: (352) 674-8905
Fax: (352) 674-8901
Type: Mailing
2910 BROWNWOOD BLVD
THE VILLAGES, FL 321632032
Phone: (352) 674-1790
Fax: (352) 674-8990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130906000035 | I | Family Practice | TX | TBD |
| I20210524001039 | I | Family Practice | FL | TBD |
| I20250320003851 | I | Osteopathic Manipulative Medicine | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | PA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | FL | |
| Family Practice | FL | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| - | TX |
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