Individual provider Active NPI

Charlotte Chase Appleton, M.D.

  • Internal Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1629139712
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R4806 Issued in TX
Practice address
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone
(936) 569-9481
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12831 NV
Internal Medicine Physician 207R00000X R4806 TX Primary
Internal Medicine Physician 207R00000X 8654 AK
Internal Medicine Physician 207R00000X 51708 CO

Addresses

Primary practice location

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254

Mailing address

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481

Other practice location 1

821 N Nellis Blvd
Las Vegas, NV 89110-5339
Phone (702) 438-4003

Other identifiers 1

IdentifierTypeStateIssuer
1629139712MedicaidNV

Other names 1

  • Dr. Charlotte Appleton Shealy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cerner

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180122002537 TX Practitioner - Internal Medicine 1557510286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481

Hospital & facility affiliations

  • Heart to Heart Hospice of Lufkin LLC Hospice, Lufkin, TX, CCN 671601
  • Olive Branch Hospice Hospice, Jasper, TX, CCN 971522
  • Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8654AKMDInternal Medicine Physician
51708COMDInternal Medicine Physician
R4806TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Physician Group Management LLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
TH Healthcare, LTD Past Accepting new patients
Mountain View Medical Group, PC Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Mountain View Medical Group, PC Internal Medicine Past Accepting new patients

Locations

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1928/brand/1/csg/62/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heart to Heart Hospice of Lufkin, LLCLufkin, TX, CCN 671601 Hospice Contracted Managing Employee Apr 15, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1629139712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651254",
            "telephone_number": "936-569-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651254",
            "telephone_number": "936-569-9481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 N Nellis Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891105339",
            "country_code": "US",
            "telephone_number": "702-438-4003",
            "fax_number": "702-438-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLETON",
        "first_name": "CHARLOTTE",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12831",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R4806",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "8654",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "51708",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629139712",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cerner",
            "affiliation": "N",
            "address_1": "4920 NE Stallings Dr",
            "city": "Nacogdoches",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759651254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "SHEALY",
            "middle_name": "APPLETON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.