Sally J Chapin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200718 Issued in NC

Practice address

101 Church St
Broadway, NC 27505-9394

Phone

(919) 774-6023

Fax

(919) 258-6693

NPI assigned

Aug 2, 2005

Last updated

Feb 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Central Carolina Medical Group LLCGroup PAC ID 3577840420, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Carolina Hospital Hospital, Sanford, NC, CCN 340020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sally.chapin.1@15593.direct.athenahealth.com

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.

• DLP Central Carolina Medical Group LLC

  dba Central Caroling Urology

  • Urology Physician
  • Sanford, NC
  • NPI 1184163883
  Medicare reassignment Care Compare group NPD
• DLP Central Carolina Medical Group LLC

  dba Central Carolina Orthopaedics

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1215476908
  NPD
• DLP Central Carolina Medical Group LLC

  dba Central Carolina Sandhills Family Care

  • Rural Health Clinic/Center
  • Broadway, NC
  • NPI 1578254215
  NPD
• Central Carolina Physicians - Sandhills, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1811336571
  NPD (past)
• DLP Central Carolina Medical Group LLC

  dba Central Carolina Community Family Care

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1417495516
  NPD (past)
• Pinehurst Medical Clinic, Inc.

  dba PMC Reference Lab

  • Clinical Medical Laboratory
  • Southern Pines, NC
  • NPI 1962509372
  NPD (past)

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

• DLP Central Carolina Medical Center LLC

  dba Central Carolina Hospital

  • General Acute Care Hospital
  • Sanford, NC
  • NPI 1902836943
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1124029954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHURCH ST",
            "city": "BROADWAY",
            "state": "NC",
            "postal_code": "275059394",
            "telephone_number": "919-774-6023",
            "fax_number": "919-258-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHURCH ST",
            "city": "BROADWAY",
            "state": "NC",
            "postal_code": "275059394",
            "telephone_number": "919-774-6023",
            "fax_number": "919-258-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "SALLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEDICARE ADVANTAGE",
            "identifier": "1124029954",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000814",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICARE DIRECT",
            "identifier": "FH4001300",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE, INC",
            "identifier": "FH4001300",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Between Blooms Counseling PLLC
• Renessa Danielle Carthens
• Stephen H Cox, M.D.
• McKenzie Leigh Daugherty, DMD
• Samantha Hope Dial, DOULA
• DLP Central Carolina Medical Group LLC (Central Carolina Sandhills Family Care)
• Dr Greogry G Manning PA

• Family Nurse Practitioner in Broadway, NC
• Providers in Broadway, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.