Healthcare Provider Details

I. General information

NPI: 1700590429
Provider Name (Legal Business Name): ST. SIMONS PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 OCEAN BLVD STE 103
ST SIMONS ISLAND GA
31522-4237
US

IV. Provider business mailing address

1331 OCEAN BLVD STE 103
ST SIMONS ISLAND GA
31522-4237
US

V. Phone/Fax

Practice location:
  • Phone: 912-268-0533
  • Fax: 833-275-2056
Mailing address:
  • Phone: 912-268-0533
  • Fax: 833-275-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHANIE CHAPMAN
Title or Position: OWNER
Credential: DO
Phone: 912-268-0533