Active NPI
Guillaume Sylvain Chevrollier, MD
- Colon & Rectal Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 2021-02226
- Practice address
- 1718 E 4TH St Ste 307
Charlotte, NC 28204-3283 - Phone
- (704) 333-1259
- Fax
- (704) 333-0371
- NPI assigned
- Apr 8, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2021-02226 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Colon & Rectal Surgery Physician | 208C00000X | 2021-02226 | NC | Primary |
Addresses
Primary practice location
1718 E 4TH St Ste 307
Charlotte, NC 28204-3283
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
1015 Walnut St
Curtis Building, Suite 620
Philadelphia, PA 19107-5005
Phone (215) 955-6864
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gchevrollier896888@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Queens Rd
Suite 430
Charlotte, NC 28204-3579
Phone (980) 302-6700
1718 E 4TH St
Suite 307
Charlotte, NC 28204-3283
Phone (704) 333-1259
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-02226 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Surgery | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Surgery | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
125 Queens Rd
Ste 430
Charlotte, NC 28204
Phone (980) 302-6300
125 Queens Rd
Ste 560
Charlotte, NC 28204
Phone (980) 302-6270
330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
1718 E 4th St
Ste 307
Charlotte, NC 28204
Phone (704) 333-1259
125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
14330 Oakhill Park Ln
Ste 140
Huntersville, NC 28078
Phone (704) 316-3492
9930 Kincey Ave
Ste 210
Huntersville, NC 28078
Phone (704) 316-3492
1450 Matthews Township Pkwy
Ste 230
Matthews, NC 28105
Phone (704) 384-8615
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 7
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Surgery Physician
- Charlotte, NC
- NPI 1083959282
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1306265228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 E 4TH ST STE 307",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043283",
"telephone_number": "704-333-1259",
"fax_number": "704-333-0371"
}
],
"practiceLocations": [
{
"address_1": "1015 Walnut St",
"address_2": "Curtis Building, Suite 620",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075005",
"country_code": "US",
"telephone_number": "215-955-6864",
"fax_number": "215-955-2878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEVROLLIER",
"first_name": "GUILLAUME",
"middle_name": "SYLVAIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2021-02226",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NC",
"license": "2021-02226",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gchevrollier896888@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1718 E 4th St Ste 307",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043283",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.