Individual provider Active NPI

Chanel Bonds Roper, MD

  • Obstetrics & Gynecology Physician
  • Gastonia, NC
National Provider Identifier
1225486806
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
307495 Issued in NC
Practice address
1225 E Garrison Blvd
Gastonia, NC 28054-5115
Phone
(704) 671-5343
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 307495 NC Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 84875 SC
Obstetrics & Gynecology Physician 207V00000X 008221 GA

Addresses

Primary practice location

1225 E Garrison Blvd
Gastonia, NC 28054-5115

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-2541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210416001367 SC Practitioner - Obstetrics/Gynecology 0143638890 Reassigns benefits to 1 organization
I20220720002970 NC Practitioner - Obstetrics/Gynecology 0143638890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, Greenville, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, shared by 2 NPIs, 425 clinicians

Practice addresses (Care Compare)

1225 E Garrison Blvd
Gastonia, NC 28054-5115
Phone (704) 865-7416

519 Nautical Dr
Suite 100C
Clover, SC 29710-8113
Phone (704) 865-7416

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008221GAMDObstetrics & Gynecology Physician
307495NCMDObstetrics & Gynecology Physician
84875SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Single Specialty Current Accepting new patients
Caromont Medical Group Inc Single Specialty Current Accepting new patients
Caromont Medical Group Inc CurrentSince Jul 28, 2022 Accepting new patients
Caromont Medical Group Inc Obstetrics & Gynecology CurrentSince Jul 28, 2022 Accepting new patients
Caromont Medical Group Inc Single Specialty Past Accepting new patients

Locations

2000 Caromont Pkwy
Ste 400
Belmont, NC 28012
Phone (704) 865-7416

1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416

936 Cox Rd
Gastonia, NC 28054
Phone (704) 671-5343

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

620 Summit Crossing Pl
Ste 108A
Gastonia, NC 28054
Phone (704) 865-2229

519 Nautical Dr
Ste 100C
Clover, SC 29710
Phone (704) 865-7416

1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1225486806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E GARRISON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545115",
            "telephone_number": "704-671-5343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-2541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROPER",
        "first_name": "CHANEL",
        "middle_name": "BONDS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "307495",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "84875",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "008221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.