Charles Whitley Emerson III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22535 Issued in AL

Practice address

1612 Highway 78 East
Suite 100
Oxford, AL 36203-5862

Phone

(256) 835-4756

Fax

(256) 831-5736

NPI assigned

Jun 21, 2007

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

Specialty

General Practice

Education

University of Mississippi School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keel and AssociatesGroup PAC ID 4688666175, 3 clinicians

Family Care Center LLCGroup PAC ID 0345282455, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
• Macon Community Hospital Hospital, Lafayette, TN, CCN 441305

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.emerson.1@15315.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

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.

• Keel and Associates

  • General Practice Physician
  • Oxford, AL
  • NPI 1720136443
  Medicare reassignment Care Compare group NPD
• Family Care Center LLC

  • Family Medicine Physician
  • Lafayette, TN
  • NPI 1689745069
  Medicare reassignment Care Compare group NPD
• Regional Health Management Corporation

  • Psychiatry Physician
  • Anniston, AL
  • NPI 1639466584

  Family Medicine

  Medicare reassignment NPD
• Southeast Medical Group, P.C.

  dba North Atlanta Primary Care, P.C.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235296054

  AL

  Medicare reassignment NPD
• Regional Health Management Corporation

  dba Roanoke Rural Health Clinic

  • Rural Health Clinic/Center
  • Roanoke, AL
  • NPI 1497041834
  NPD
• Physician First Health Network

  • Public Health or Welfare Agency
  • Alpharetta, GA
  • NPI 1598558181
  NPD (past)

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

• Adoration Home Health, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Madison, TN
  • NPI 1790161321
  Care Compare affiliation
• Macon County General Hospital, Inc.

  dba Macon Community Hospital

  • Critical Access Hospital
  • Lafayette, TN
  • NPI 1417938846
  Care Compare affiliation

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1124224753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N POINT PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224102",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 HIGHWAY 78 EAST",
            "address_2": "SUITE 100",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362035862",
            "telephone_number": "256-835-4756",
            "fax_number": "256-831-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "CHARLES",
        "middle_name": "WHITLEY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "22535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Dawn Easterwood I
• Shawanda Nicole Edison
• Davisson Jean Leandre F E Edmond, M.D
• Edwards Family Chiropractic, LLC
• Eloubeidi Gastroenterology and Associates Inc
• Encore Rehabilitation Inc (Encore Rehab of Oxford)
• Elizabeth Bowen English, PHARM D
• Carol J Evancho, D.C.
• Hannah Evans
• Eyemart Express LLC

• Family Medicine Physician in Oxford, AL
• Providers in Oxford, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.