Individual provider Active NPI

Nicole Chaumont, MD

  • Colon & Rectal Surgery Physician
  • Chapel Hill, NC
National Provider Identifier
1629395579
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
165046 Issued in NC
Practice address
101 Manning Dr
Dept of Surgery CB#7050
Chapel Hill, NC 27514
Phone
(919) 966-4653
Fax
(919) 966-7841
NPI assigned
Apr 30, 2010
Last updated
May 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 165046 NC Primary

Addresses

Primary practice location

101 Manning Dr
Dept of Surgery CB#7050
Chapel Hill, NC 27514

Mailing address

101 Manning Dr
Dept of Surgery CB#7050
Chapel Hill, NC 27514-4220
Phone (919) 966-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151019001937 NC Practitioner - General Surgery 7113142480 Reassigns benefits to 1 organization
I20200702000257 MD Practitioner - Colorectal Surgery (Proctology) 7113142480 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165046NCMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Chatham Hospital, Inc. CurrentSince Nov 20, 2015 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

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

101 Manning Dr
#7050
Chapel Hill, NC 27514
Phone (919) 966-4653

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1629395579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "DEPT OF SURGERY CB#7050",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-966-4653",
            "fax_number": "919-966-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "DEPT OF SURGERY CB#7050",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-966-4653",
            "fax_number": "919-966-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUMONT",
        "first_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NC",
            "license": "165046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.