Active NPI
Kevin Lee Chavis Jr., FNP-C
- Family Nurse Practitioner
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5019803
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-5680
- NPI assigned
- Jan 25, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5019803 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5019803 | NC | Primary |
| Registered Nurse | 163W00000X | 313795 | NC |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949
Other practice location 1
6387 Ramsey St Unit 100
Fayetteville, NC 28311-9442
Phone (910) 615-3879
Other practice location 2
150 Robeson St
Fayetteville, NC 28301-5570
Phone (910) 615-1059
Other practice location 3
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
Other practice location 4
2934 N Elm St Ste B
Lumberton, NC 28358-2987
Phone (910) 272-1175
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kchavis1053628@direct.UNC.nchie.net | Direct |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Robeson St
Fayetteville, NC 28301-5570
Phone (910) 615-1059
2934 N Elm St
Suite B
Lumberton, NC 28358-2987
Phone (910) 272-1175
6387 Ramsey St
Unit 100
Fayetteville, NC 28311-9442
Phone (910) 615-3879
Hospital & facility affiliations
- Cape Fear Valley Medical Center
- Highsmith Rainey Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313795 | NC | MD | Registered Nurse |
| 5019803 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| CFV Express Care Billing Services LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
6013 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (919) 957-6610
37 Pineville Blvd
#102
Clayton, NC 27527
Phone (919) 346-8680
34 Healthpark Way
Ste 100
Clayton, NC 27520
Phone (919) 585-8850
6387 Ramsey St
Unit 100
Fayetteville, NC 28311
Phone (910) 615-3879
150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
2934 N Elm St
Ste B
Lumberton, NC 28358
Phone (910) 272-1175
6701B NC Highway 135
Mayodan, NC 27027
Phone (336) 635-6816
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
923 W 3rd St
Ste C
Pembroke, NC 28372
Phone (910) 521-0564
51 Mosaic Blvd
Ste 100
Pittsboro, NC 27312
Phone (984) 215-6766
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
Interoperability endpoints
- kchavis1053628@direct.unc.nchie.net
- kchavis10893@capefearvalley.direct-ci.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1396842514
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1588668396
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1134162597
Hospital
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1336131010
Hospital
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1386649374
Hospital
-
- Rural Health Clinic/Center
- Raeford, NC
- NPI 1447255328
Hospital
-
- Obstetrics & Gynecology Physician
- Fayetteville, NC
- NPI 1497757785
Hospital
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1588668396
Hospital
-
- General Acute Care Hospital
- Fayetteville, NC
- NPI 1639172869
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Fayetteville, NC
- NPI 1639173222
Hospital
-
- Rehabilitation Hospital Unit
- Fayetteville, NC
- NPI 1821091851
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1972507440
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1598527558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40908",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283090908",
"telephone_number": "910-615-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-5680"
}
],
"practiceLocations": [
{
"address_1": "6387 Ramsey St Unit 100",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283119442",
"country_code": "US",
"telephone_number": "910-615-3879",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Robeson St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283015570",
"country_code": "US",
"telephone_number": "910-615-1059",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Medical Pavilion Dr",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769111",
"country_code": "US",
"telephone_number": "910-904-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2934 N Elm St Ste B",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "NC",
"postal_code": "283582987",
"country_code": "US",
"telephone_number": "910-272-1175",
"fax_number": "910-272-1176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVIS",
"first_name": "KEVIN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-25",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5019803",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5019803",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "313795",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kchavis1053628@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2934 N Elm St Ste B",
"city": "Lumberton",
"state": "NC",
"country_code": "US",
"postal_code": "283582987",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.