NPIMap

Individual provider Active NPI

Christopher McCracken, MD

  • Family Medicine Physician
  • Boone, NC
National Provider Identifier
1154567915
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011-00737 Issued in NC
Practice address
400 Shadowline Dr
Ste #104
Boone, NC 28607-5089
Phone
(828) 268-1187
Fax
(828) 262-9728
NPI assigned
Dec 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011-00737 NC Primary
Family Medicine Physician 207Q00000X MT192648 PA

Addresses

Primary practice location

400 Shadowline Dr
Ste #104
Boone, NC 28607-5089

Mailing address

400 Shadowline Dr
Ste #104
Boone, NC 28607-5089
Phone (828) 268-1187

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
I20110826000037 NC Practitioner - Family Practice 7416127634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

148 Hwy 105 Ext
Suite 102
Boone, NC 28607-5682
Phone (828) 386-2222

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Boone, NC, CCN 347225
  • Medi Home Health and Hospice Home health agency, Boone, NC, CCN 347020
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Charles a Cannon Jr Memorial Hospital Hospital, Linville, NC, CCN 341323
  • Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT192648PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. Family Medicine CurrentSince Jul 11, 2011 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

400 Shadowline Dr
Ste 104
Boone, NC 28607
Phone (828) 268-0220

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

148 Highway 105 Ext
Ste 102
Boone, NC 28607
Phone (828) 257-2946

Interoperability endpoints

  • Direct secure messaging: cmccracken214913@direct.unc.nchie.net
  • Direct secure messaging: christophermccracken@arhs.allscriptsdirect.net

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 12

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1154567915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "address_2": "STE #104",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075089",
            "telephone_number": "828-268-1187",
            "fax_number": "828-262-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "address_2": "STE #104",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075089",
            "telephone_number": "828-268-1187",
            "fax_number": "828-262-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-00737",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT192648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.