NPIMap

Organization Active NPI

Hugh Chatham Memorial Hospital, Inc.

Doing business as Hugh Chatham Nephrology

  • Nephrology Physician
  • Elkin, NC
National Provider Identifier
1215697602
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HUGH CHATHAM MEMORIAL HOSPITAL, INC.
Doing business as
Hugh Chatham Nephrology
Practice address
500 Chatham Medical Park Ste B
Elkin, NC 28621-2481
Phone
(336) 258-8094
Fax
(336) 258-8095
NPI assigned
Dec 27, 2021
Last updated
Oct 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

500 Chatham Medical Park Ste B
Elkin, NC 28621-2481

Mailing address

PO Box 560
Elkin, NC 28621-0560
Phone (336) 527-7000

Other names 1

  • Hugh Chatham Nephrology 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
Tax ID family
Piedmont Womens Center16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

911 E Atkins St
#D
Dobson, NC 27017
Phone (336) 374-1010

Practitioners & affiliated clinicians

Practitioners 1

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": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1215697602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286210560",
            "telephone_number": "336-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHATHAM MEDICAL PARK STE B",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212481",
            "telephone_number": "336-258-8094",
            "fax_number": "336-258-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH CHATHAM MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "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": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hugh Chatham Nephrology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hugh Chatham Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.