Active NPI
Carroll L. Chambers Jr., M.D.
- Anesthesiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2007-01731
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203 - Phone
- (704) 355-2000
- NPI assigned
- Dec 29, 2005
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D95693 | MD | |
| Pediatric Anesthesiology Physician | 207LP3000X | 2007-01731 | NC | |
| Pediatric Anesthesiology Physician | 207LP3000X | D95693 | MD | |
| Pediatric Anesthesiology Physician | 207LP3000X | MD 15264 | SC | |
| Pediatric Anesthesiology Physician | 207LP3000X | 15264 | SC | |
| Anesthesiology Physician | 207L00000X | 2007-01731 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203
Mailing address
2430 Emerald PL Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140
Other practice location 1
1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-7610
Other practice location 2
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5911774 | Medicaid | NC | |
| P00680393 | Other | NC | RAILROAD-MEDICARE |
| 010990 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC, NC, MD, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Georgia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2825 Randolph Rd
Charlotte, NC 28211-1018
Phone (704) 377-1647
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D95693 | MD | MD | Anesthesiology Physician |
| 15264 | SC | MD | Pediatric Anesthesiology Physician |
| MD 15264 | SC | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| Children'S Anesthesiology Associates, LTD | Anesthesiology | Current | Accepting new patients |
| Children'S Anesthesiology Associates, LTD | Anesthesiology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Consultants of Virginia, Inc | Anesthesiology | Past | Accepting new patients |
| Lancaster Anesthesia & Associates, PA | Anesthesiology | Past | Accepting new patients |
| Acv Inc | Anesthesiology | Past | Accepting new patients |
| Anesthesiology Consultants of South Carolina, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
600 N Wolfe St
Baltimore, MD 21287
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
927 East Blvd
Charlotte, NC 28203
Phone (704) 348-1855
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719
3401 Civic Center Blvd
Ste 9329
Philadelphia, PA 19104
Phone (267) 425-9300
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
Interoperability endpoints
- cchambers2896479@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 13
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.
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- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Pediatric Anesthesiology Physician
- Philadelphia, PA
- NPI 1689779480
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1932402195
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1942213525
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1023335551
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1881927259
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1225016603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1528045507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 EMERALD PL STE 201",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345743",
"telephone_number": "252-752-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "704-355-2000"
}
],
"practiceLocations": [
{
"address_1": "1800 Orleans St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870010",
"country_code": "US",
"telephone_number": "410-955-7610",
"fax_number": "410-502-5312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Stantonsburg Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278342818",
"country_code": "US",
"telephone_number": "252-847-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMBERS",
"first_name": "CARROLL",
"middle_name": "L.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D95693",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "NC",
"license": "2007-01731",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "MD",
"license": "D95693",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "SC",
"license": "MD 15264",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "SC",
"license": "15264",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2007-01731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5911774",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD-MEDICARE",
"identifier": "P00680393",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010990",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.