NPIMap

Individual provider Active NPI

Chrystal Faye Eller, MD

  • Family Medicine Physician
  • Troy, NC
National Provider Identifier
1487797114
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007-01048 Issued in NC
Practice address
522 Allen St
Suite 101
Troy, NC 27371-2861
Phone
(910) 571-5510
Fax
(910) 571-5539
NPI assigned
Feb 14, 2007
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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 2007-01048 NC Primary

Addresses

Primary practice location

522 Allen St
Suite 101
Troy, NC 27371-2861

Mailing address

522 Allen St
Suite 101
Troy, NC 27371-2861
Phone (910) 571-5510

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
I20080220000246 NC Practitioner - Family Practice 0840374500 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-14 LLCGroup PAC ID 2567696552, 6 clinicians

Practice addresses (Care Compare)

305 Page Rd N
Suite 1
Pinehurst, NC 28374-0086
Phone (910) 715-8671

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01048NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC Family Medicine CurrentSince Jan 24, 2025 Accepting new patients
MCPC-14, LLC CurrentSince May 1, 2022 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Mar 1, 2009 Accepting new patients
Firsthealth of the Carolinas, Inc. Family Medicine CurrentSince Mar 1, 2009 Accepting new patients
MCPC-8, LLC Family Medicine CurrentSince Jan 24, 2025 Accepting new patients
MCPC-8, LLC Family Medicine Current Accepting new patients
MCPC-24, LLC CurrentSince Jan 24, 2025 Accepting new patients
MCPC-14, LLC Family Medicine CurrentSince May 1, 2022 Accepting new patients

Locations

225 Capital Dr
Ste 101
Carthage, NC 28327
Phone (910) 215-5100

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

305 Page Rd N
Ste 1
Pinehurst, NC 28374
Phone (910) 295-7070

522 Allen St
Ste 101
Troy, NC 27371
Phone (910) 571-5510

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: celler6327@firsthealth.direct-ci.net

Organizations & group practices 8

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 5

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1487797114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 ALLEN ST",
            "address_2": "SUITE 101",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712861",
            "telephone_number": "910-571-5510",
            "fax_number": "910-571-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 ALLEN ST",
            "address_2": "SUITE 101",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712861",
            "telephone_number": "910-571-5510",
            "fax_number": "910-571-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "CHRYSTAL",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-01048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NC

Sources for this page

Verify at the official NPI Registry.