NPIMap

Individual provider Active NPI

Andrew Chidester, M.D.

  • Family Medicine Physician
  • Linville, NC
National Provider Identifier
1487943718
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT193300 Issued in PA
Practice address
434 Hospital Dr
Linville, NC 28646
Phone
(828) 737-7000
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 183301 NC
Family Medicine Physician 207Q00000X MT193300 PA Primary

Addresses

Primary practice location

434 Hospital Dr
Linville, NC 28646

Mailing address

423 Nettles Ridge Rd
Banner Elk, NC 28604-8598
Phone (304) 962-3009

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
I20120801000892 NC Practitioner - Emergency Medicine 7012163330 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT193300PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Emergency Providers CurrentSince Dec 18, 2023 Accepting new patients
Jefferson Emergency Services, PLLC Emergency Medicine CurrentSince Jun 28, 2017 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Spruce Pine Emergency Services PLLC Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Linville Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

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

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JC Edwards School of Medicine, Marshall University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Emergency Providers 497 clinicians
Emergency Coverage LLC 761 clinicians

Practice addresses (Care Compare)

336 Deerfield Rd
Boone, NC 28607-5008
Phone (336) 716-2255

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

  • Charles a Cannon Jr Memorial Hospital Hospital, Linville, NC, CCN 341323
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Blue Ridge Regional Hospital Hospital, Spruce Pine, NC, CCN 341329
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1487943718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 NETTLES RIDGE RD",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286048598",
            "telephone_number": "304-962-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HOSPITAL DR",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "28646",
            "telephone_number": "828-737-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDESTER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "183301",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT193300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linville, NC

Sources for this page

Verify at the official NPI Registry.