Christopher Anderson, MD
Individual provider Active NPI Emergency Medicine Physician · Mooresville, NC
NPI 1114906609 · NPPES record last updated Jan 23, 2018
Key facts
- NPI
- 1114906609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD2017-1020 (NM)
- Practice address
- 120 Sumter Dr
Mooresville, NC 28117-9620 - Phone
- (704) 660-6939
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 34
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Hahnemann University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 E Market St
Bennettsville, SC 29512-3126
Phone (910) 929-6944
17724 Jetton Green Loop
Cornelius, NC 28031-8882
402 S Main St
Raeford, NC 28376-3223
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in NC, IL, KY, NM, IN, VA, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080111000578 | NC | Practitioner - Emergency Medicine | 2860573144 | Reassigns benefits to 9 organizations |
| I20170410002810 | IL | Practitioner - Emergency Medicine | 2860573144 | Reassigns benefits to 1 organization |
| I20171212000195 | KY | Practitioner - Emergency Medicine | 2860573144 | Reassigns benefits to 2 organizations |
| I20180131000615 | NM | Practitioner - Emergency Medicine | 2860573144 | Reassigns benefits to 2 organizations |
| I20180328002453 | IN | Practitioner - Emergency Medicine | 2860573144 | Reassigns benefits to 1 organization |
| I20191210003506 | VA | Practitioner - Emergency Medicine | 2860573144 | Reassigns benefits to 2 organizations |
| I20251217004561 | SC | Practitioner - Podiatry | 2860573144 | Practice locations: Bennettsville, SC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036142147 | IL | MD | Emergency Medicine Physician |
| MD2017-1020 | NM | MD | Emergency Medicine Physician |
| 31432 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current |
Accepting new patients |
| Duke University Health System, Inc. | Current |
Accepting new patients | |
| Emergency Services Midwest SC | Emergency Medicine | Current |
Accepting new patients |
| Tarheel Foot of South Carolina P.a | Current |
Accepting new patients | |
| Tanglewood Park Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Piedmont Triad Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Hoke Emergency Group, PC | Emergency Medicine | Current |
Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Kernersville Emergency Group, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Alteon Health New Mexico LLC | Emergency Medicine | Current |
Accepting new patients |
| Presbyterian Healthcare Services | Emergency Medicine | Current |
Accepting new patients |
| Afc Urgent Care and Family Care of WNC, PLLC | Current |
Accepting new patients | |
| Duke University Health System, Inc. | Current |
Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| SC Cherokee Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Services | Past | Accepting new patients | |
| Serio South Carolina, LLC | Emergency Medicine | Past | Accepting new patients |
| North Carolina Emergency Partners LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Internal Medicine Specialist, PA | Past | Accepting new patients | |
| South Carolina Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Fox Mountain Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Marion SC Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Clyde Emergency Solutions LLC | Emergency Medicine | Past | Accepting new patients |
| Neuse River Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Linville Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Spruce Pine Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| NC Emergency Physician Partners PLLC | Emergency Medicine | Past | Accepting new patients |
| Western Carolina Emergency Physicians, PLLC | Emergency Medicine | Past |
Accepting new patients |
| Piedmont Emergency Medical Associates, PA | Emergency Medicine | Past | Accepting new patients |
| North Carolina Em-I Medical Services PC | Past | Accepting new patients | |
| Prisma Health-Midlands | Past | Accepting new patients | |
| Emergency Physician Partners of South Carolina PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600
10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578
6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000
430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125
4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500
1010 College St
Oxford, NC 27565
Phone (919) 623-5115
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
111 E Market St
Bennettsville, SC 29512
Phone (910) 929-6944
120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- canderson275887@direct.musc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 37998 | NC | |
| Emergency Medicine Physician | 207P00000X | 036142147 | IL | |
| Emergency Medicine Physician | 207P00000X | MD2017-1020 | NM | Yes |
Addresses
Primary practice location
120 Sumter Dr
Mooresville, NC 28117-9620
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5362
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N37998 | Medicaid | SC | |
| 7911160 | Medicaid | NC |
Other providers in Mooresville, NC
- Samantha Lynne Ameredes
- American Family Care Greensboro
- Amy Lowery, LMFT, PLLC
- Anchor Interventional Psychiatry
- Aaron Robert Anderson
- David Anderson Jr.
- Mary Kendall Anderson
- Sharda Chenelle Anderson
- Travis Lee Anderson
- Diana Andrade
All providers in Mooresville, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.