Active NPI
Charles Michael Beers Sr., PA
- Physician Assistant
- Chadbourn, NC
National Provider Identifier
1174537856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101723
- Practice address
- 110 N Brown St
Chadbourn, NC 28431-1716 - Phone
- (910) 654-1701
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101723 | NC | Primary |
Addresses
Primary practice location
110 N Brown St
Chadbourn, NC 28431-1716
Mailing address
PO Box 585
112 East Clay Street
Whiteville, NC 28472-0585
Phone (910) 640-5012
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251023003195 | NC | Order and Referring Only - Physician Assistant | 0941429120 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174537856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 585",
"address_2": "112 EAST CLAY STREET",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284720585",
"telephone_number": "910-640-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N BROWN ST",
"city": "CHADBOURN",
"state": "NC",
"postal_code": "284311716",
"telephone_number": "910-654-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEERS",
"first_name": "CHARLES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chadbourn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.