Cherokee Indians of Robeson County

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CHEROKEE INDIANS OF ROBESON COUNTY

Doing business as

Preventive Medical and Foot Care Specialist

Practice address

10723 NC Highway 211 W
Red Springs, NC 28377-9589

Phone

(910) 316-5477

Fax

(910) 395-0181

NPI assigned

Mar 28, 2012

Last updated

Apr 28, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CHEROKEE INDIANS OF ROBESON COUNTYAs reported in NPPES

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

Authorized official

Name

Mr. Robert M Chavis, P.A.C.NPI 1629268594

Title

Director

Phone

(910) 587-6031

Specialties & licenses 1

Addresses

Other names 1

• PREVENTIVE MEDICAL AND FOOT CARE SPECIALIST Doing business as

Part of

Cherokee Indians of Robeson

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.

• Robert M Chavis, PA

  • Physician Assistant
  • Red Springs, NC
  • NPI 1629268594
  NPD (past) Authorized official

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335571200000",
    "number": "1235405887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10723 NC HIGHWAY 211 W",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283779589",
            "telephone_number": "910-587-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10723 NC HIGHWAY 211 W",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283779589",
            "telephone_number": "910-316-5477",
            "fax_number": "910-395-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE INDIANS OF ROBESON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEROKEE INDIANS OF ROBESON COUNTY",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-04-28",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-587-6031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREVENTIVE MEDICAL AND FOOT CARE SPECIALIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Lydia Carthen, M.A.E.D., LPCS, NCC
• John Chaplin, OWNER/ PRESIDENT
• Christopher Chapman, ATC, LAT
• Herman Chavis, M.D.
• Robert M Chavis, PA
• Cheryl R. Locklear, DDS
• Chosen Generation Community Center, Inc.
• Collins and Associates DDS PA
• Beverly Collins-Hall
• Community Helps Network Building Dreams

• Specialist in Red Springs, NC
• Providers in Red Springs, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.