Charles Stuart Locke Jr., PA-C
Individual provider Active NPI Physician Assistant · Chapel Hill, NC
NPI 1578027017 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1578027017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-08811 (NC)
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27514-4226 - Phone
- (984) 974-1000
- NPI assigned
- Jan 29, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carteret County General Hospital Corporation
Practice addresses (Care Compare)
3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 499-6000
Hospital & facility affiliations
- Carteret General Hospital
- Ecu Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190528000979 | NC | Practitioner - Physician Assistant | 3072856400 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carteret County General Hospital Corporation | Current |
Accepting new patients |
Locations
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
Interoperability endpoints
- clocke337986@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0010-08811 | NC | |
| Physician Assistant | 363A00000X | 0010-08811 | NC | Yes |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27514-4226
Mailing address
201 Oak Tree Dr
Chapel Hill, NC 27517-4065
Phone (252) 904-4661
Other providers in Chapel Hill, NC
- Shella J Lobianco
- Jarred Jeffrey Lobo
- Leonard Lobo
- Andrew J Lobonc
- Anna Lock
- Harley Devon Locklear
- Miguel Locsin
- Fahim Khalid Lodhi
- Laura Ross Loehr
- Richard Frank Loeser Jr.
All providers in Chapel Hill, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.