Individual provider Active NPI

Charlie Pickens Jr., MD

  • Obstetrics & Gynecology Physician
  • Durham, NC
National Provider Identifier
1114217288
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2015-01044 Issued in NC
Practice address
2301 Erwin Rd
Duke University Hospital
Durham, NC 27705-4699
Phone
(919) 668-2591
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2015-01044 NC Primary

Addresses

Primary practice location

2301 Erwin Rd
Duke University Hospital
Durham, NC 27705-4699

Mailing address

1091 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 538-1880

Other practice location 1

930 3rd St
Greensboro, NC 27405-6967
Phone (336) 890-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpickens283135@direct.conehealth.com Direct

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
I20150811005614 NC Practitioner - Obstetrics/Gynecology 8224343835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 379-4307

1200 N Elm St
Greensboro, NC 27401-1020
Phone (336) 574-7000

912 3Rd St
Suite 102
Greensboro, NC 27405-6967
Phone (336) 271-2054

930 3Rd St
Greensboro, NC 27405-6967
Phone (336) 890-3200

945 Golf House W Rd
Whitsett, NC 27377-9260
Phone (336) 449-4946

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation Obstetrics & Gynecology CurrentSince May 30, 2017 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1091 Kirkpatrick Rd
Burlington, NC 27215
Phone (336) 494-2063

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

802 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 370-0277

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

945 Golf House Rd W
Whitsett, NC 27377
Phone (336) 449-4602

Interoperability endpoints

  • Direct secure messaging: cpickens283135@direct.conehealth.com

Organizations & group practices 2

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 1

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1114217288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 KIRKPATRICK RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159714",
            "telephone_number": "336-538-1880",
            "fax_number": "336-538-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "address_2": "DUKE UNIVERSITY HOSPITAL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-668-2591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 3rd St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274056967",
            "country_code": "US",
            "telephone_number": "336-890-3200",
            "fax_number": "336-890-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "CHARLIE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2015-01044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpickens283135@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "930 3rd St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274056967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.