Active NPI
Charles Joseph Blevins, MD
- Emergency Medicine Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 30253
- Practice address
- Physicians Office Building 170 Manning Drive CB 7594
Chapel Hill, NC 27599-0001 - Phone
- (919) 966-6440
- Fax
- (919) 966-3049
- NPI assigned
- May 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 30253 | WV | Primary |
Addresses
Primary practice location
Physicians Office Building 170 Manning Drive CB 7594
Chapel Hill, NC 27599-0001
Mailing address
Physicians Office Building 170 Manning Drive CB 7594
Chapel Hill, NC 27599-0001
Phone (919) 966-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Maryland School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (919) 784-3100
Hospital & facility affiliations
- Rex Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.4 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30253 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Emergency Medicine Associates Inc | Emergency Medicine | Current | Accepting new patients |
| West Virginia Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Wilson Emergency Physician Partners PLLC | Emergency Medicine | Current | Accepting new patients |
| Monongalia County General Hospital Company | Current | Accepting new patients |
Locations
850 S Main St
Holly Springs, NC 27540
Phone (919) 784-7093
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1790736973
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine, NC, VA
-
- Specialist
- Morgantown, WV
- NPI 1447673223
-
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1952776379
-
- Emergency Medicine Physician
- Wilson, NC
- NPI 1851526644
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1780173211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PHYSICIANS OFFICE BUILDING 170 MANNING DRIVE CB 7594",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "919-966-6440",
"fax_number": "919-966-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PHYSICIANS OFFICE BUILDING 170 MANNING DRIVE CB 7594",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "919-966-6440",
"fax_number": "919-966-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEVINS",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-10",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "30253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.