Chrystal Faye Eller, MD
Individual provider Active NPI Family Medicine Physician · Troy, NC
NPI 1487797114 · NPPES record last updated Jun 24, 2013
Key facts
- NPI
- 1487797114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2007-01048 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCPC-14 LLC
Practice addresses (Care Compare)
305 Page Rd N
Suite 1
Pinehurst, NC 28374-0086
Phone (910) 715-8671
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
- Firsthealth Montgomery Memorial Hosp
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080220000246 | NC | Practitioner - Family Practice | 0840374500 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-01048 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-8, LLC | Family Medicine | Current | Accepting new patients |
| Firsthealth of the Carolinas, Inc. | Family Medicine | Current |
Accepting new patients |
| MCPC-14, LLC | Family Medicine | Current |
Accepting new patients |
| MCPC-24, LLC | Current |
Accepting new patients | |
| MCPC-8, LLC | Family Medicine | Current |
Accepting new patients |
| MCPC-14, LLC | Current |
Accepting new patients | |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current |
Accepting new patients | |
| MCPC-8, LLC | Family Medicine | Current |
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 203
Troy, NC 27371
Phone (910) 571-5151
522 Allen St
Ste 101
Troy, NC 27371
Phone (910) 571-5510
7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100
Interoperability endpoints
- celler6327@firsthealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2007-01048 | NC | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907325 | Medicaid | NC | |
| 145XR | Other | NC | BCBS |
| FH1100265 | Other | FIRST CAROLINA CARE | |
| 9073047 | Other | AETNA |
Other providers in Troy, NC
- Scott Jeffrey Denardo
- Derma Sleeves, LLC
- Donald L Davis DDS PA
- Talia Drake
- Angela Atkinson Elkins
- Joan D. Evans
- Family Care Associates of Montgomery County PA
- Family First Home Care, LLC
- Family Homecare Services Inc
- FHPG, LLC
All providers in Troy, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.