Individual provider Active NPI

Chamain Dorothy Austin, M.D.

  • Internal Medicine Physician
  • Sanford, NC
National Provider Identifier
1023114261
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79178 Issued in NC
Practice address
4546 NC 87 S
Sanford, NC 27332-0212
Phone
(919) 499-5151
Fax
(919) 499-5147
NPI assigned
Sep 15, 2006
Last updated
Oct 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06209000 NJ
Internal Medicine Physician 207R00000X 79178 NC Primary

Addresses

Primary practice location

4546 NC 87 S
Sanford, NC 27332-0212

Mailing address

PO Box 742768
Atlanta, GA 30374-2768
Phone (919) 499-5151

Other identifiers 1

IdentifierTypeStateIssuer
7399901MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728003490 NC Practitioner - Internal Medicine 0648454652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
State University of Ny Upstate Medical University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

303 Green St E
Wilson, NC 27893-4105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79178NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Apr 3, 2024 Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Apr 3, 2024 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Aug 2, 2017 Accepting new patients
DLP Central Carolina Medical Group LLC Internal Medicine CurrentSince Aug 2, 2017 Accepting new patients
Carolina Family Health Centers, Inc Current Accepting new patients
DLP Frye Medical Group LLC Past Accepting new patients

Locations

8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

4546 NC 87 S
Sanford, NC 27332
Phone (919) 499-5151

162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514

303 Green St E
Wilson, NC 27893
Phone (252) 243-9800

Interoperability endpoints

  • Direct secure messaging: caustin320963@direct.ochin.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1023114261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742768",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742768",
            "telephone_number": "919-499-5151",
            "fax_number": "919-499-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 NC 87 S",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273320212",
            "telephone_number": "919-499-5151",
            "fax_number": "919-499-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "CHAMAIN",
        "middle_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06209000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "79178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7399901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.