Individual provider Active NPI

Courtney Ellen Detwiler, MD

  • Internal Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1568810174
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219555 Issued in NC
Practice address
101 Manning Drive Hospital Medicine CB #7085
Chapel Hill, NC 27599-3219
Phone
(919) 423-2753
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219555 NC Primary

Addresses

Primary practice location

101 Manning Drive Hospital Medicine CB #7085
Chapel Hill, NC 27599-3219

Mailing address

101 Manning Drive Hospital Medicine CB#7085
Chapel Hill, NC 27599-7085
Phone (984) 974-1903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201021002432 NC Practitioner - HospitalistPractitioner - Internal Medicine 4688961097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219555NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 24, 2023 Accepting new patients
University of North Carolina at Chapel Hill Internal Medicine CurrentSince Sep 10, 2020 Accepting new patients

Locations

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

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

101 Manning Dr
#7085
Chapel Hill, NC 27514
Phone (984) 974-1903

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

Interoperability endpoints

  • Direct secure messaging: cdetwiler131096@direct.unc.nchie.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1568810174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE HOSPITAL MEDICINE CB#7085",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997085",
            "telephone_number": "984-974-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE HOSPITAL MEDICINE CB #7085",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275993219",
            "telephone_number": "919-423-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "COURTNEY",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "219555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.