Active NPI
Charles I. Maxwell, D.O.
- Emergency Medicine Physician
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2019-00520
- Practice address
- 2817 Rock Merritt Avenue
Fort Bragg, NC 28310-0004 - Phone
- (910) 907-7000
- Fax
- (910) 907-6069
- NPI assigned
- Jul 27, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2019-00520 | NC | Primary |
| Emergency Medicine Physician | 207P00000X | 008575 | GA |
Addresses
Primary practice location
2817 Rock Merritt Avenue
Fort Bragg, NC 28310-0004
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone (910) 907-8922
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008575 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Hoke Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Robeson Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tarheel Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Bladen Medical Associates | Past | Accepting new patients |
Locations
800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine, NC
-
- Emergency Medicine Physician
- Raeford, NC
- NPI 1003337528
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1801375373
-
- Emergency Medicine Physician
- Jacksonville, NC
- NPI 1386388874
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Nurse Practitioner
- Bladenboro, NC
- NPI 1316068307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1215480181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVENUE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100004",
"telephone_number": "910-907-7000",
"fax_number": "910-907-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "CHARLES",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-27",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2019-00520",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "008575",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.