NPIMap

Individual provider Active NPI

Herman Chavis, M.D.

  • Family Medicine Physician
  • Red Springs, NC
National Provider Identifier
1386630564
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24580 Issued in NC
Practice address
1002C E 4TH Ave
Red Springs, NC 28377-1642
Phone
(910) 843-3311
Fax
(910) 843-3599
NPI assigned
Sep 23, 2005
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24580 NC Primary

Addresses

Primary practice location

1002C E 4TH Ave
Red Springs, NC 28377-1642

Mailing address

1002C E 4TH Ave
Red Springs, NC 28377-1642
Phone (910) 843-3311

Other identifiers 1

IdentifierTypeStateIssuer
8922110MedicaidNC

Other names 1

  • Dr. Herman Chavis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000393 NC Practitioner - Family Practice 3678598372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1002 C E 4TH Ave
Red Springs, NC 28377-1642
Phone (910) 843-3311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Health LLC CurrentSince May 10, 2013 Accepting new patients
Cumberland County Hospital System Inc Family Medicine CurrentSince Mar 24, 2022 Accepting new patients
Robeson Family Practice Associates, P.a. Family Medicine CurrentSince Jul 19, 1982 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Mar 24, 2022 Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients
Carolina Podiatry Associates, LLC Past Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1002 E 4th Ave
#C
Red Springs, NC 28377
Phone (910) 843-3311

1002C E 4th Ave
Red Springs, NC 28377
Phone (910) 843-3311

Interoperability endpoints

  • Direct secure messaging: hchavis97071@capefearvalley.direct-ci.com
  • Direct secure messaging: herman.chavis.1@21786.direct.athenahealth.com
  • Direct secure messaging: herman.chavis@rfpa.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1386630564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002C E 4TH AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771642",
            "telephone_number": "910-843-3311",
            "fax_number": "910-843-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002C E 4TH AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771642",
            "telephone_number": "910-843-3311",
            "fax_number": "910-843-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "24580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERMAN",
            "last_name": "CHAVIS",
            "prefix": "DR.",
            "credential": "M,D,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Red Springs, NC

Sources for this page

Verify at the official NPI Registry.