Charles Coit Chapman, PA-C
Individual provider Active NPI Physician Assistant · Blacksburg, SC
NPI 1912780321 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1912780321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1525 N Mountain St
Blacksburg, SC 29702-6304 - Phone
- (704) 975-5178
- NPI assigned
- Aug 17, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia University Medical Corporation
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
2000 Foundation Way
Martinsburg, WV 25401-9197
2000 Foundation Way
Martinsburg, WV 25401-9198
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000
Hospital & facility affiliations
- Berkeley Medical Center
- Jefferson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.82 of 100
- Quality
- 84.07
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231019002438 | NC | Practitioner - Physician Assistant | 5496101925 | Reassigns benefits to 1 organization |
| I20240821003531 | WV | Practitioner - Physician Assistant | 5496101925 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Memorial Hospital | Current |
Accepting new patients | |
| Jefferson Memorial Hospital | Current |
Accepting new patients | |
| Gastonia Physician Services, PLLC | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Physician Assistant | Current |
Accepting new patients |
| Jefferson Memorial Hospital | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients |
Locations
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
2000 Foundation Way
Ste 1200
Martinsburg, WV 25401
Phone (304) 264-1214
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1525 N Mountain St
Blacksburg, SC 29702-6304
Mailing address
1525 N Mountain St
Blacksburg, SC 29702-6304
Phone (704) 975-5178
Other providers in Blacksburg, SC
- Marissa Angel Marie Atkins
- Carol S Berry
- Philip Edward Brafford Jr.
- Jakemma McDaniel Brown
- Daren E Carling
- Cherokee Pediatric Associates
- Cherokee Pediatric Associates, LLC
- Madison Clayton
- Courtney Marie Cox
- Peter Dinh
All providers in Blacksburg, SC · Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.