Active NPI
Mary Katherine Chamberlain, M.D.
- Obstetrics & Gynecology Physician
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101261523
- Practice address
- 16000 Johnston Memorial Dr Ste 200
Abingdon, VA 24211-7664 - Phone
- (276) 628-4335
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2017-01597 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101261523 | VA | Primary |
Addresses
Primary practice location
16000 Johnston Memorial Dr Ste 200
Abingdon, VA 24211-7664
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-2815
Other names 1
- Dr. Mary Katherine Mays
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mchamberlain297662@direct.vidanthealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, MS, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Pinellas St
Clearwater, FL 33756-3804
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-01597 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Health System | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Mississippi, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Virginia Skin, LLC | Past | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
Interoperability endpoints
- mchamberlain433486@balladhealth.medalliesdirect.net
- https://app.meldrx.com/api/fhir/ez_00421
Organizations & group practices 8
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.
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1083995674
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1437991825
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Dermatology Physician
- Charlottesville, VA
- NPI 1255014486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1295091650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR STE 200",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117664",
"telephone_number": "276-628-4335"
}
],
"practiceLocations": [
{
"address_1": "417 N Main St",
"address_purpose": "LOCATION",
"city": "Kenansville",
"state": "NC",
"postal_code": "283498801",
"country_code": "US",
"telephone_number": "910-296-2815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "MARY",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2017-01597",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101261523",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mchamberlain297662@direct.vidanthealth.com",
"affiliation": "N",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "MAYS",
"middle_name": "KATHERINE",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.