Individual provider Active NPI

Anil Kumar Chhabra, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1417185125
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82186 Issued in GA
Practice address
14714 Jockeys Ridge Dr
Charlotte, NC 28277-3717
Phone
(832) 860-5164
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2017-00720 NC
Emergency Medicine Physician 207P00000X 37826 SC
Pediatrics Physician 208000000X 7288 KS
Pediatrics Physician 208000000X 2017-00720 NC
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 2017-00720 NC
Emergency Medicine Physician 207P00000X 82186 GA Primary

Addresses

Primary practice location

14714 Jockeys Ridge Dr
Charlotte, NC 28277-3717

Mailing address

14714 Jockeys Ridge Dr
Charlotte, NC 28277-3717
Phone (832) 860-5164

Other practice location 1

420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-5011

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8092

Other identifiers 1

IdentifierTypeStateIssuer
278264MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150701000794 SC Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9133378656 Reassigns benefits to 6 organizations
I20170907001860 NC Practitioner - Emergency Medicine 9133378656 Reassigns benefits to 4 organizations
I20190329001019 GA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9133378656 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Emergency Group, PCGroup PAC ID 2961829072, 8 clinicians

Practice addresses (Care Compare)

1740 Lions Club Rd
Madison, GA 30650-4762
Phone (706) 342-1667

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37826SCMDPharmacist
82186GAMDEmergency Medicine Physician
7288KSMDPediatrics Physician
2017-00720NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Dec 17, 2017 Accepting new patients
Edcare Consulting LLC Emergency Medicine CurrentSince Nov 16, 2019 Accepting new patients
Madison Emergency Group, PC Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
Wake Forest Emergency Providers CurrentSince Oct 27, 2025 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Cfvhs Ed Physicians Emergency Medicine CurrentSince Dec 26, 2023 Accepting new patients
Carolina Family Care, Inc Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Kinston Physicians Group, PLLC Emergency Medicine CurrentSince Jun 15, 2019 Accepting new patients
Cfvhs Ed Physicians Emergency Medicine Current Accepting new patients
Abbeville County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

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

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

1530 N Limestone St
Gaffney, SC 29340
Phone (864) 487-1544

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

834 W Meeting St
Ste C
Lancaster, SC 29720
Phone (803) 285-2700

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: achhabra111857@capefearvalley.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: achhabra573291@selfregional.direct-ci.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1417185125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14714 JOCKEYS RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773717",
            "telephone_number": "832-860-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14714 JOCKEYS RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773717",
            "telephone_number": "832-860-5164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Thomson Cir",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "SC",
            "postal_code": "296205656",
            "country_code": "US",
            "telephone_number": "864-366-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "ANIL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2017-00720",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "37826",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "7288",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2017-00720",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NC",
            "license": "2017-00720",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "82186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278264",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.