NPIMap

Individual provider Active NPI

Christian Y Chung, MD

  • Gastroenterology Physician
  • Fayetteville, NC
National Provider Identifier
1801891379
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
33631 Issued in NC
Practice address
1880 Quiet CV
Fayetteville, NC 28304-3857
Phone
(910) 223-7011
Fax
(910) 323-1919
NPI assigned
Jun 20, 2005
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33631 NC
Gastroenterology Physician 207RG0100X 33631 NC Primary

Addresses

Primary practice location

1880 Quiet CV
Fayetteville, NC 28304-3857

Mailing address

PO Box 87388
Fayetteville, NC 28304-7388
Phone (910) 323-2477

Other practice location 1

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

Other identifiers 1

IdentifierTypeStateIssuer
8922468MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christian-chung@cfcdd-net.e-mdsdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014001077 NC Practitioner - Gastroenterology 2163574278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Howard University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Gastroenterology PAGroup PAC ID 5890787006, 23 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

1880 Quiet CV
Fayetteville, NC 28304-3857
Phone (910) 223-7011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Upper gastrointestinal (GI) endoscopy for acid reflux102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33631NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Gastroenterology CurrentSince Sep 6, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Premier Gastroenterology, PA Specialist CurrentSince Jun 1, 1989 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 6, 2024 Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1880 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2477

Interoperability endpoints

  • Direct secure messaging: christian-chung@cfcdd-net.e-mdsdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJBAA

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1801891379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87388",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047388",
            "telephone_number": "910-323-2477",
            "fax_number": "910-323-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 QUIET CV",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043857",
            "telephone_number": "910-223-7011",
            "fax_number": "910-323-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-4000",
            "fax_number": "910-323-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "CHRISTIAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "33631",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "33631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922468",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christian-chung@cfcdd-net.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "1880 Quiet Cv",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283043857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.