Charles Kendrick Dunham, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101277093 Issued in VA

Practice address

3388 Princess Anne Rd Ste 2001
Virginia Beach, VA 23456-2612

Phone

(757) 507-7270

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Charles K Dunham Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

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 2

Specialty

Geriatric PsychiatryAlso: Internal Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdunham39466@direct.novanthealth.org
• Direct secure messaging: kendunham@kairos.kareodirect.com

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.

• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kairos Medical Consulting, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1669011565

  Internal Medicine

  Medicare reassignment NPD Authorized official
• NHCS Physicians Inc

  dba Nash Critical Care

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
  • NPI 1801252275

  Psychiatry

  Medicare reassignment NPD
• Telos Health Systems NC PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment NPD
• Sentara Medical Group

  dba Sentara Behavioral Health Care Center

  • Psychologist
  • Virginia Beach, VA
  • NPI 1255096442

  Psychiatry

  NPD
• Kairos Wellness Initiative

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1417620527
  NPD
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288

  Psychiatry

  NPD
• Lifesource of North Carolina

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1811286156
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sentara Hospitals

  dba Sentara Virginia Beach General Hospital

  • General Acute Care Hospital
  • Virginia Beach, VA
  • NPI 1629038336
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1346268745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 PRINCESS ANNE RD STE 2001",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234562612",
            "telephone_number": "757-507-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 PRINCESS ANNE RD STE 2001",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234562612",
            "telephone_number": "757-507-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Bethesda Pl Ste 104",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033323",
            "country_code": "US",
            "telephone_number": "336-293-4107",
            "fax_number": "949-577-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "CHARLES",
        "middle_name": "KENDRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-01758",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200501758",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2005-01758",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101277093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910376",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kendunham@kairos.kareodirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address to Dr. Dunham",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3000 Bethesda Pl Ste 104",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdunham39466@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3000 Bethesda Pl Ste 104",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "DUNHAM",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laricka Dulin, LPN
• Jenna Duncan, SLP
• Muriel Renae Duncan, LPTA
• Bruce C Dundon, MD
• Kristel Rupe Dunford
• Thomas Patrick Dunham, DDS
• Brittany Kay Dunlap, LPC
• Amy Michelle-Hayslett Dunleavy, MSED, ATC, EMT-B
• Abby P Dunn, MA, LPC
• Bianca Allegra Dunn, OT

• Psychiatry Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.