NPIMap

Individual provider Active NPI

Aristides E Chaconas, MD

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1710954359
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9701712 Issued in NC
Practice address
411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066
Phone
(704) 577-3186
Fax
(704) 626-2701
NPI assigned
Mar 2, 2006
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 36162 SC
Neurology Physician 2084N0400X 9701712 NC Primary

Addresses

Primary practice location

411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066

Mailing address

411 Billingsley Rd Ste 103
Charlotte, NC 28211-1066
Phone (704) 577-3186

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aristides.chaconas.1@17840.direct.athenahealth.com Direct Charlotte Neuroscience Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040527000691 NC Practitioner - Neurology 7214918044 Reassigns benefits to 1 organization
I20191029001773 SC Practitioner - Neurology 7214918044

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Georgetown University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charlotte Neuroscience FoundationGroup PAC ID 7214205277, 5 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

3442 Cypress Club Dr
Charlotte, NC 28210-2467
Phone (704) 577-3186

411 Billingsley Rd
Suite 103
Charlotte, NC 28211-1066
Phone (704) 577-3186

548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.92 of 100Reported as group
Quality
87.1
Promoting interoperability
100
Improvement activities
40
Cost
79.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mecklenburg Neurological Associates, PA Neurology PastSince Jul 1, 1994 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aristides.chaconas.1@17840.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1710954359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111066",
            "telephone_number": "704-577-3186",
            "fax_number": "704-626-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111066",
            "telephone_number": "704-577-3186",
            "fax_number": "704-626-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACONAS",
        "first_name": "ARISTIDES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "36162",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "9701712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aristides.chaconas.1@17840.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Charlotte Neuroscience Foundation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "411 Billingsley Rd Ste 103",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.