Active NPI
Chara Chinyere Freeman, M.D.
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1679749253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2012-01918
- Practice address
- 8310 University Exec Park Dr
Suite 550
Charlotte, NC 28262-3383 - Phone
- (704) 384-1225
- Fax
- (704) 384-1226
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24482 | WV | |
| Family Medicine Physician | 207Q00000X | S3814 | TX | |
| Family Medicine Physician | 207Q00000X | 2012-01918 | NC | Primary |
| Family Medicine Physician | 207Q00000X | 01081378A | IN | |
| Family Medicine Physician | 207Q00000X | 0101267250 | VA | |
| Family Medicine Physician | 207Q00000X | MD16468 | RI |
Addresses
Primary practice location
8310 University Exec Park Dr
Suite 550
Charlotte, NC 28262-3383
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810020826 | Medicaid | WV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131210000203 | NC | Practitioner - Family Practice | 8921278748 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01081378A | IN | MD | Family Medicine Physician |
| 2012-01918 | NC | MD | Family Medicine Physician |
| MD16468 | RI | MD | Family Medicine Physician |
| S3814 | TX | MD | Family Medicine Physician |
| 0101267250 | VA | MD | Family Medicine Physician |
| 24482 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Health Association, Inc. | Past | Accepting new patients |
Interoperability endpoints
- chara.freeman@393409484357636.direct.elationemr.com
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Oak Hill, WV
- NPI 1841619467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1679749253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-1225",
"fax_number": "704-384-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8310 UNIVERSITY EXEC PARK DR",
"address_2": "SUITE 550",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623383",
"telephone_number": "704-384-1225",
"fax_number": "704-384-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "CHARA",
"middle_name": "CHINYERE",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "24482",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S3814",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2012-01918",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01081378A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101267250",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD16468",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810020826",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.