Charles Gibbs Maker, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2021-00963 Issued in NC

Practice address

643 5TH Ave W
Hendersonville, NC 28739-4205

Phone

(828) 694-7700

Fax

(828) 694-7701

NPI assigned

Nov 23, 2005

Last updated

Jan 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Boston University School of Medicine, 1980

Medicare assignment

May accept Medicare assignment

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Complexcare Medical Group Mid-Atlantic H PLLCGroup PAC ID 6709382831, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of the Carolina Foothills Hospice, Saluda, NC, CCN 341528
• Rutherford Regional Medical Center Hospital, Rutherfordton, NC, CCN 340013
• Life Care Center of Hendersonville Nursing home, Hendersonville, NC, CCN 345463

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Complexcare Medical Group Mid-Atlantic H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1275427429

  NC

  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NC

  Medicare reassignment Care Compare group NPD
• Henderson County Hospital Corporation

  dba Pardee Medical Associates

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559
  Medicare reassignment NPD
• Henderson County Hospital Corporation

  dba Pardee Rx-Fleming

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD
• Hendersonville Medical Investors, LLC

  dba Life Care Center of Hendersonville

  • Skilled Nursing Facility
  • Hendersonville, NC
  • NPI 1760415434
  NPD (past)
• Willow Ridge Healthcare LLC

  dba Willow Ridge of NC

  • Skilled Nursing Facility
  • Rutherfordton, NC
  • NPI 1629425491
  NPD (past)
• Theoria Medical

  dba Theoria Primary Care

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946
  NPD (past)

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

• Agape Care North Carolina, LLC

  dba Hospice of the Carolina Foothills

  • Community Based Hospice Care Agency
  • Forest City, NC
  • NPI 1841904620
  Care Compare affiliation
• DLP Rutherford Regional Health System, LLC

  dba Rutherford Regional Health System

  • General Acute Care Hospital
  • Rutherfordton, NC
  • NPI 1245321181
  Care Compare affiliation
• Hendersonville Medical Investors, LLC

  dba Life Care Center of Hendersonville

  • Skilled Nursing Facility
  • Hendersonville, NC
  • NPI 1760415434

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1619950557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 5TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394205",
            "telephone_number": "828-694-7700",
            "fax_number": "828-694-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 5TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394205",
            "telephone_number": "828-694-7700",
            "fax_number": "828-694-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Bedford St",
            "address_purpose": "LOCATION",
            "city": "Whitman",
            "state": "MA",
            "postal_code": "023821859",
            "country_code": "US",
            "telephone_number": "781-792-6000",
            "fax_number": "781-792-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKER",
        "first_name": "CHARLES",
        "middle_name": "GIBBS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2021-00963",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "48633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086654",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NNH532A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.

Verify at the official NPI Registry.