Individual provider Active NPI

Firas Chazli, MD

  • Pediatrics Physician
  • Goldsboro, NC
National Provider Identifier
1336110196
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
95-01199 Issued in NC
Practice address
2501 Wayne Memorial Dr
Suite a
Goldsboro, NC 27534-9436
Phone
(919) 736-0400
Fax
(919) 736-0426
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 95-01199 NC
Pediatrics Physician 208000000X 95-01199 NC Primary

Addresses

Primary practice location

2501 Wayne Memorial Dr
Suite a
Goldsboro, NC 27534-9436

Mailing address

PO Box 10707
Goldsboro, NC 27532-0707
Phone (919) 736-0400

Other identifiers 6

IdentifierTypeStateIssuer
187926OtherNCMEDCOST
7685274OtherNCAETNA
1044XOtherNCBCBS
P00246446OtherNCRAILROAD MEDICARE
6728576OtherNCCIGNA
8922102MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000812 NC Practitioner - Internal Medicine 1658309042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4220 N Roxboro St
Durham, NC 27704-1826
Phone (919) 471-1518

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95-01199NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Jan 11, 2016 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Jan 11, 2016 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine Current Accepting new patients
Primedoc of Stanly County PA Internal Medicine Past Accepting new patients
Duke University Affiliated Physicians, Inc. Past Accepting new patients

Locations

5100 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

4220 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5102 N Roxboro St
Durham, NC 27704
Phone (919) 613-3115

Interoperability endpoints

  • Direct secure messaging: firas.chazli.1@15189.direct.athenahealth.com
  • Direct secure messaging: fchazli257609@direct.medicine.duke.edu

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 9

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336110196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10707",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275320707",
            "telephone_number": "919-736-0400",
            "fax_number": "919-736-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WAYNE MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349436",
            "telephone_number": "919-736-0400",
            "fax_number": "919-736-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAZLI",
        "first_name": "FIRAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "95-01199",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "95-01199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "187926",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7685274",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1044X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00246446",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6728576",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922102",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.