Active NPI
Charles Wade Lebaron, MD
- Internal Medicine Physician
- Cherokee, NC
National Provider Identifier
1508200411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37594
- Practice address
- 1 Hospital Road
Cherokee, NC 28719 - Phone
- (828) 497-9163
- Fax
- (828) 497-1723
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 37594 | GA | Primary |
| Pediatrics Physician | 208000000X | 37594 | GA |
Addresses
Primary practice location
1 Hospital Road
Cherokee, NC 28719
Mailing address
1 Hospital Road
Cherokee, NC 28719
Phone (828) 497-9163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37594 | Other | GA | STATE LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37594 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1508200411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL ROAD",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "28719",
"telephone_number": "828-497-9163",
"fax_number": "828-497-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL ROAD",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "28719",
"telephone_number": "828-497-9163",
"fax_number": "828-497-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBARON",
"first_name": "CHARLES",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "37594",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "37594",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "37594",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cherokee, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.