Individual provider Active NPI

Carroll L. Chambers Jr., M.D.

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1528045507
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2007-01731 Issued in NC
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

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5911774MedicaidNC
P00680393OtherNCRAILROAD-MEDICARE
010990MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC, NC, MD, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040315000402 VA Practitioner - Anesthesiology 9335038587 Reassigns benefits to 1 organization
I20070426000309 SC Practitioner - Anesthesiology 9335038587 Reassigns benefits to 2 organizations
I20071224000031 NC Practitioner - Anesthesiology 9335038587 Reassigns benefits to 3 organizations
I20221129002352 MD Practitioner - Anesthesiology 9335038587 Reassigns benefits to 1 organization
I20241105000673 PA Practitioner - Anesthesiology 9335038587 Reassigns benefits to 1 organization

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
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

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

LicenseStateTypeSpecialty
D95693MDMDAnesthesiology Physician
15264SCMDPediatric Anesthesiology Physician
MD 15264SCMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Jan 1, 2008 Accepting new patients
Johns Hopkins University CurrentSince Nov 14, 2022 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Aug 1, 2008 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Dec 15, 2015 Accepting new patients
Children'S Anesthesiology Associates, LTD Anesthesiology CurrentSince Aug 25, 2024 Accepting new patients
Children'S Anesthesiology Associates, LTD Anesthesiology CurrentSince Aug 25, 2024 Accepting new patients
Johns Hopkins University CurrentSince Nov 14, 2022 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Aug 22, 2018 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 PastSince Feb 1, 2013 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

  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.