Active NPI
Chalmers Morton Nunn Jr., M.D.
- Gastroenterology Physician
- Lynchburg, VA
National Provider Identifier
1255306411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101222564
- Practice address
- 121 Nationwide Dr
Suite a
Lynchburg, VA 24502-4272 - Phone
- (434) 384-1862
- Fax
- (434) 384-7704
- NPI assigned
- Feb 21, 2006
- Last updated
- Jul 16, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101222564 | VA | Primary |
Addresses
Primary practice location
121 Nationwide Dr
Suite a
Lynchburg, VA 24502-4272
Mailing address
121 Nationwide Dr
Suite a
Lynchburg, VA 24502-4272
Phone (434) 384-1862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005839629 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26577 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Assoc of Central Virginia Inc | Gastroenterology | Current | Accepting new patients |
Locations
121 Nationwide Dr
Ste A
Lynchburg, VA 24502
Phone (434) 384-1862
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Lynchburg, VA
- NPI 1588748016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1255306411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 NATIONWIDE DR",
"address_2": "SUITE A",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245024272",
"telephone_number": "434-384-1862",
"fax_number": "434-384-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 NATIONWIDE DR",
"address_2": "SUITE A",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245024272",
"telephone_number": "434-384-1862",
"fax_number": "434-384-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "CHALMERS",
"middle_name": "MORTON",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101222564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005839629",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.