NPIMap

Organization Active NPI

Hugh Chatham Memorial Hospital, Inc.

Doing business as Hugh Chatham Health Family Medicine Residency

  • Family Medicine Physician
  • Elkin, NC
National Provider Identifier
1679428486
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HUGH CHATHAM MEMORIAL HOSPITAL, INC.
Doing business as
Hugh Chatham Health Family Medicine Residency
Practice address
500 Chatham Medical Park
Elkin, NC 28621-2481
Phone
(336) 527-7002
Fax
(336) 571-8609
NPI assigned
Feb 27, 2026
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Anna C Robinson
Title
Director Revenue Cycle
Phone
(336) 527-7567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

500 Chatham Medical Park
Elkin, NC 28621-2481

Mailing address

180 Parkwood Dr
PO Box 560
Elkin, NC 28621-2430
Phone (336) 527-7000

Other names 1

  • Hugh Chatham Health Family Medicine Residency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000817 NC Part A Provider - Hospital 2062311442 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elkin, NC; Ronda, NC; Jonesville, NC; Hays, NC; Dobson, NC
O20040717000340 NC Part B Supplier - Clinic/Group Practice 2062311442 Receives reassigned benefits from 102 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ronda, NC; Mount Airy, NC; Jonesville, NC; Hays, NC; Elkin, NC; Boomer, NC; Dobson, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679428486. Details of each certification follow.

Hospital certification: CCN 340097

Legal name
HUGH CHATHAM MEMORIAL HOSPITAL, INC.
Doing business as
HUGH CHATHAM MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 26, 2014
Beds
81
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 30, 1930 in NC
Enrollment address
180 Parkwood Dr
Elkin, NC 28621-2430
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Care Compare: Hospital

Medicare Care Compare
Listed as
Hugh Chatham Memorial HospitalCCN 340097 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Regional Rehab Center at Hugh ChathamCCN 34T097
Ownership
Non-profit
Certified
Oct 1, 2009

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Womens Center16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

500 Chatham Medical Park
Elkin, NC 28621
Phone (336) 835-3136

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ashley Carol Johnson Individual Contracted Managing Employee Jul 1, 2025
W-2 Managing EmployeeDirector Jul 1, 2025
Jena Rebecca Folger Individual Corporate DirectorDirector Jul 1, 2025
Michael Thomas Waid Individual Corporate DirectorDirector Jul 1, 2025
Wake Forest University Baptist Medical Center Organization, Winston Salem, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2025 100%
Operational/Managerial Control Jul 1, 2025
Kara Richardson Individual Corporate Director Jan 1, 2026
Jonathan R Snyder Individual Corporate DirectorDirector Jul 1, 2025
Atrium Health Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Jul 1, 2025
Advocate Health Inc Organization, Charlotte, NC Corporation Operational/Managerial Control Jul 1, 2025
Mary F Blackburn Individual Corporate DirectorDirector Jul 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 189

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 189

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1679428486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "address_2": "PO BOX 560",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHATHAM MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212481",
            "telephone_number": "336-527-7002",
            "fax_number": "336-571-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH CHATHAM MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "336-527-7567"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hugh Chatham Health Family Medicine Residency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkin, NC

Sources for this page

Verify at the official NPI Registry.