Organization Active NPI

Chapel Hill Family Medicine, P.a.

  • Family Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1477544294
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHAPEL HILL FAMILY MEDICINE, P.A.
Practice address
120 Conner Dr
Suite 200
Chapel Hill, NC 27514-7092
Phone
(919) 967-8130
Fax
(919) 967-3627
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
George Patrick Guiteras, M.D.
Title
President
Phone
(919) 967-8130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

120 Conner Dr
Suite 200
Chapel Hill, NC 27514-7092

Mailing address

120 Conner Dr
Suite 200
Chapel Hill, NC 27514-7092
Phone (919) 967-8291

Other identifiers 2

IdentifierTypeStateIssuer
0137AOtherNCBCBSNC GROUP ID
890137AMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051022000170 NC Part B Supplier - Clinic/Group Practice 3779509351 Receives reassigned benefits from 2 practitioners
Practice locations: Chapel Hill, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0239652Chapel Hill Family Medicine, PA120 Conner Drive, Suite 200, Chapel Hill, NC 27514Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1477544294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CONNER DR",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147092",
            "telephone_number": "919-967-8291",
            "fax_number": "919-967-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CONNER DR",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147092",
            "telephone_number": "919-967-8130",
            "fax_number": "919-967-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILL FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "GUITERAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-967-8130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP ID",
            "identifier": "0137A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890137A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.