Individual provider Active NPI

Daniel R Champey, MD

  • Neurology Physician
  • Pollocksville, NC
National Provider Identifier
1700836681
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2005-00639 Issued in NC
Practice address
137 Medical Lane
Pollocksville, NC 28573-0068
Phone
(252) 633-1010
Fax
(252) 224-3071
NPI assigned
May 11, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2005-00639 NC Primary

Addresses

Primary practice location

137 Medical Lane
Pollocksville, NC 28573-0068

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 633-1010

Other identifiers 3

IdentifierTypeStateIssuer
140E1OtherNCBCBSNC
P00317295OtherNCPALMETTO GBA RR MEDICARE
5900330MedicaidNC

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
I20050524000117 NC Practitioner - Neurology 0446292155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

4218 Arendell St
Morehead City, NC 28557-2866
Phone (252) 247-3257

445 Western Blvd
Jacksonville, NC 28546-6845
Phone (252) 633-2712

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

906 WB McLean Blvd
Cape Carteret, NC 28584-9211
Phone (252) 393-9007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00639NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Neurology Current Accepting new patients
Carolinaeast Physicians Neurology CurrentSince Jan 1, 2011 Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2011 Accepting new patients
Guilford Neurologic Associates, Inc. Past Accepting new patients
Moses Cone Affiliated Physicians, Inc. Neurology Past Accepting new patients

Locations

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

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Interoperability endpoints

  • Direct secure messaging: dchampey19355@carolinaeastmc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1700836681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MEDICAL LANE",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285730068",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPEY",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2005-00639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "140E1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "P00317295",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900330",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pollocksville, NC

Sources for this page

Verify at the official NPI Registry.