NPIMap

Individual provider Active NPI

Stephanie M. Chambers, PA

  • Physician Assistant
  • Lenoir, NC
National Provider Identifier
1083094304
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09585 Issued in NC
Practice address
1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461
Phone
(828) 991-4660
Fax
(828) 991-4659
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-09585 NC Primary

Addresses

Primary practice location

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461

Mailing address

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461
Phone (828) 991-4660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106001549 NC Practitioner - Physician Assistant 8426368671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1208 Hickory Blvd SW
Suite 102
Lenoir, NC 28645-6461
Phone (828) 991-4660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Oct 26, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Oct 26, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Interoperability endpoints

  • Direct secure messaging: schambers683721@direct.unc.nchie.net

Organizations & group practices 6

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1083094304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HICKORY BLVD SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286456461",
            "telephone_number": "828-991-4660",
            "fax_number": "828-991-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HICKORY BLVD SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286456461",
            "telephone_number": "828-991-4660",
            "fax_number": "828-991-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "STEPHANIE",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.