Individual provider Active NPI

Marc Andrew Chester, MD

  • Pediatric Pulmonology Physician
  • Charlotte, NC
National Provider Identifier
1770639361
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
2017-01731 Issued in NC
Practice address
6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286
Phone
(704) 316-5280
Fax
(704) 316-5852
NPI assigned
Jan 26, 2007
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2017-01731 NC
Pediatric Pulmonology Physician 2080P0214X 2017-01731 NC Primary

Addresses

Primary practice location

6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1918 Randolph Rd Ste 700
Charlotte, NC 28207-1167
Phone (704) 316-5280

Other practice location 2

3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 694-4447

Other practice location 3

201 Queens Rd
Charlotte, NC 28204-3217
Phone (704) 316-5280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mchester505533@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150603000921 TX Practitioner - Pulmonary Disease 4183945124 Reassigns benefits to 1 organization
I20171025000267 NC Practitioner - Pediatric Medicine 4183945124 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2017 Accepting new patients
Novant Health Medical Group, LLC Pediatric Pulmonology CurrentSince Sep 1, 2017 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1918 Randolph Rd
Ste 700
Charlotte, NC 28207
Phone (704) 342-3544

201 Queens Rd
Charlotte, NC 28204
Phone (704) 316-5285

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

1401 Matthews Township Pkwy
Ste 100
Matthews, NC 28105
Phone (704) 384-1080

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: mchester505533@direct.novanthealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1770639361",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 CARMEL RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268286",
            "telephone_number": "704-316-5280",
            "fax_number": "704-316-5852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Randolph Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071167",
            "country_code": "US",
            "telephone_number": "704-316-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3533 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111721",
            "country_code": "US",
            "telephone_number": "361-694-4447",
            "fax_number": "361-694-4179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Queens Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043217",
            "country_code": "US",
            "telephone_number": "704-316-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESTER",
        "first_name": "MARC",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2017-01731",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NC",
            "license": "2017-01731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchester505533@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3533 S Alameda St",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784111721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.