Individual provider Active NPI

Ronea Harris Chambers, M.D.

  • Dermatology Physician
  • Matthews, NC
National Provider Identifier
1174743066
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2009-01767 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 170
Matthews, NC 28105-6300
Phone
(704) 384-6020
Fax
(704) 384-6025
NPI assigned
Apr 26, 2007
Last updated
Apr 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2009-01767 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 170
Matthews, NC 28105-6300

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other identifiers 2

IdentifierTypeStateIssuer
NC1475MedicaidSC
5906187MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000787 NC Practitioner - Dermatology 5294877353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of North Raleigh, PLLCGroup PAC ID 1456607852, 4 clinicians

Practice addresses (Care Compare)

3809 Computer Dr
Suite 200
Raleigh, NC 27609-6518
Phone (919) 782-3782

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions145
Removal or shaving of skin growth1-10
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-01767NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrus & Associates Dermatology, PA Dermatology CurrentSince May 1, 2025 Accepting new patients
Integrated Dermatology of North Raleigh, PLLC Dermatology CurrentSince May 1, 2025 Accepting new patients
The Dermatology Center of Raleigh Dermatology PastSince Jul 9, 2007 Accepting new patients
Piedmont Plastic Surgery & Dermatology PA Dermatology PastSince Apr 1, 2019 Accepting new patients

Locations

3809 Computer Dr
Ste 200
Raleigh, NC 27609
Phone (919) 782-3782

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1174743066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 170",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056300",
            "telephone_number": "704-384-6020",
            "fax_number": "704-384-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "RONEA",
        "middle_name": "HARRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2009-01767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1475",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906187",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.