NPIMap

Individual provider Active NPI

Chad A Frazer, PA-C

  • Surgical Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1184652950
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0010-02842 Issued in NC
Practice address
5 Firstvillage Drive
Pinehurst, NC 28374
Phone
(910) 295-6831
Fax
(910) 295-0244
NPI assigned
Jun 29, 2006
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0010-02842 NC Primary

Addresses

Primary practice location

5 Firstvillage Drive
Pinehurst, NC 28374

Mailing address

5 Firstvillage Drive
PO Box 2000
Pinehurst, NC 28374
Phone (910) 295-6831

Other identifiers 3

IdentifierTypeStateIssuer
290001366CT01OtherCTBCBS
0010-02842OtherNCNCMB
136600OtherCTCONNECTICARE

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
I20111228000154 NC Practitioner - Physician Assistant 1355240540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firsthealth of the Carolinas IncGroup PAC ID 8820909377, 138 clinicians
MCPC-9 LLCGroup PAC ID 1658526710, 57 clinicians
Pinehurst Surgical Clinic PAGroup PAC ID 4587561394, 92 clinicians

Practice addresses (Care Compare)

10 Aviemore Dr
Pinehurst, NC 28374-9700
Phone (910) 715-8700

155 Memorial Dr
Pinehurst, NC 28374-8710

3716 Morganton Rd
Suite 1
Fayetteville, NC 28303-4963
Phone (910) 302-8026

5 1St Village Dr
Pinehurst, NC 28374-9495
Phone (910) 295-6831

6322 Fayetteville Rd
Raeford, NC 28376-7979
Phone (910) 878-5150

809 S Long Dr
Rockingham, NC 28379-4377
Phone (910) 417-4096

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001366CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas Inc CurrentSince Mar 9, 2015 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Mar 9, 2015 Accepting new patients
Litchfield Hills Orthopedic Associates, LLP Physician Assistant PastSince Jan 1, 1990 Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

3716 Morganton Rd
Ste 1
Fayetteville, NC 28303
Phone (910) 715-8700

10 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 215-5555

305 Page Rd N
Ste 1
Pinehurst, NC 28374
Phone (910) 295-7070

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

Interoperability endpoints

  • Direct secure messaging: cfrazer18257@firsthealth.direct-ci.net
  • Direct secure messaging: chadfrazer@fhss.allscriptsdirect.net
  • Direct secure messaging: chadfrazer@psc.allscriptsdirect.net
  • FHIR API: https://epicrp.firsthealth.org/FHIR-PRD/FHMYCHART/api/FHIR/R4

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1184652950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FIRSTVILLAGE DRIVE",
            "address_2": "PO BOX 2000",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-6831",
            "fax_number": "910-295-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FIRSTVILLAGE DRIVE",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-6831",
            "fax_number": "910-295-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "CHAD",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-02842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "290001366CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCMB",
            "identifier": "0010-02842",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "136600",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.