Individual provider Active NPI

Jeffrey Roy Chambers, M.D.

  • Psychiatry Physician
  • Durham, NC
National Provider Identifier
1659412245
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31786 Issued in NC
Practice address
4905 Harwood CT
Durham, NC 27713-8103
Phone
(919) 452-2917
Fax
(919) 490-3099
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 31786 NC Primary

Addresses

Primary practice location

4905 Harwood CT
Durham, NC 27713-8103

Mailing address

4905 Harwood CT
Durham, NC 27713-8103
Phone (919) 452-2917

Other identifiers 1

IdentifierTypeStateIssuer
8921899MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000395 NC Practitioner - Psychiatry 5092616870

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Michigan Medical School, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1090 S Tamiami TL
Sarasota, FL 34236-9116

3308 Durham Chapel Hill Blvd
Suite 131
Durham, NC 27707-2643

3308 Durham Chapel Hill Blvd
Suite 131
Durham, NC 27707-3610

PO Box
Suite 1630
Pinehurst, NC 28370-1630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31786NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Behavioral Care, PA Psychiatry Current Accepting new patients
Jeffrey R. Chambers, MD, PA Psychiatry PastSince Jan 2, 2008 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1659412245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 HARWOOD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138103",
            "telephone_number": "919-452-2917",
            "fax_number": "919-490-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 HARWOOD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138103",
            "telephone_number": "919-452-2917",
            "fax_number": "919-490-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "JEFFREY",
        "middle_name": "ROY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "31786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8921899",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.