NPIMap

Organization Active NPI

Hugh Chatham Memorial Hospital, Inc

Doing business as Yadkin Valley Pulmonary and Critical Care

  • Pulmonary Disease Physician
  • Jonesville, NC
National Provider Identifier
1205061256
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
HUGH CHATHAM MEMORIAL HOSPITAL, INC
Doing business as
Yadkin Valley Pulmonary and Critical Care
Practice address
546 Winston Rd
Jonesville, NC 28642-2217
Phone
(336) 527-7298
NPI assigned
May 20, 2009
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Anna C Robinson
Title
Director of Business Services
Phone
(336) 527-7567

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

546 Winston Rd
Jonesville, NC 28642-2217

Mailing address

520 Chatham Medical Park
Elkin, NC 28621
Phone (336) 835-1324

Other names 1

  • Yadkin Valley Pulmonary and Critical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040717000340 NC Part B Supplier - Clinic/Group Practice 2062311442 Receives reassigned benefits from 102 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ronda, NC; Mount Airy, NC; Jonesville, NC; Hays, NC; Elkin, NC; Boomer, NC; Dobson, NC

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory

Locations

520 Chatham Medical Park
Elkin, NC 28621
Phone (336) 835-1324

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1205061256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CHATHAM MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "28621",
            "telephone_number": "336-835-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WINSTON RD",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286422217",
            "telephone_number": "336-527-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH CHATHAM MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "336-527-7567"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yadkin Valley Pulmonary and Critical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yadkin Valley Pulmonary and Critical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.