NPIMap

Organization Active NPI

The Cedars of Chapel Hill Club, Inc.

Doing business as The Cedars of Chapel Hill Wellness Clinic

  • Health Service Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1417073412
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
THE CEDARS OF CHAPEL HILL CLUB, INC.
Doing business as
The Cedars of Chapel Hill Wellness Clinic
Practice address
101 Green Cedar LN
Chapel Hill, NC 27517
Phone
(919) 259-7934
Fax
(919) 259-7580
NPI assigned
Mar 21, 2007
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Robert E Woodruff
Title
President
Phone
(919) 259-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

101 Green Cedar LN
Chapel Hill, NC 27517

Mailing address

101 Green Cedar LN
Chapel Hill, NC 27517-7222
Phone (919) 259-7934

Other names 1

  • THE CEDARS OF CHAPEL HILL WELLNESS CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050808001078 NC Part B Supplier - Clinic/Group Practice 8224012000 Receives reassigned benefits from 20 practitioners
Practice locations: Chapel Hill, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Cedars of Chapel Hill Club Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1417073412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREEN CEDAR LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177222",
            "telephone_number": "919-259-7934",
            "fax_number": "919-259-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREEN CEDAR LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-259-7934",
            "fax_number": "919-259-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CEDARS OF CHAPEL HILL CLUB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-259-7000"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CEDARS OF CHAPEL HILL WELLNESS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE CEDARS OF CHAPEL HILL WELLNESS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.