Individual provider Active NPI

Craig Thomas Morgan Chepke, M.D.

  • Psychiatry Physician
  • Huntersville, NC
National Provider Identifier
1831363712
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2009-00088 Issued in NC
Practice address
10225 Hickorywood Hill Ave Ste B
Huntersville, NC 28078-3431
Phone
(704) 457-9292
Fax
(704) 274-5783
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2009-00088 NC Primary

Addresses

Primary practice location

10225 Hickorywood Hill Ave Ste B
Huntersville, NC 28078-3431

Mailing address

10225 Hickorywood Hill Ave Ste B
Huntersville, NC 28078-3431
Phone (704) 457-9292

Other identifiers 2

IdentifierTypeStateIssuer
153KPOtherNCBCBS OF NC
P01315157OtherNCRR MEDICARE

Other names 1

  • Dr. Craig Thomas Chepke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00088NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of North Carolina, PC Past Accepting new patients
Excel Psychiatric Associates, PA Psychiatry Past Accepting new patients
Brookdale Senior Living Communities, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1831363712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 HICKORYWOOD HILL AVE STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783431",
            "telephone_number": "704-457-9292",
            "fax_number": "704-274-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 HICKORYWOOD HILL AVE STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783431",
            "telephone_number": "704-457-9292",
            "fax_number": "704-274-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPKE",
        "first_name": "CRAIG",
        "middle_name": "THOMAS MORGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2022-01-07",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2009-00088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "153KP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01315157",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRAIG",
            "last_name": "CHEPKE",
            "middle_name": "THOMAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.