Individual provider Active NPI

Carrie Lyn Champine, D.O.

  • Obstetrics & Gynecology Physician
  • Christiansburg, VA
National Provider Identifier
1922214527
Registry record updated Feb 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0102203413 Issued in VA
Practice address
2875 Barn Rd
Christiansburg, VA 24073-6389
Phone
(540) 731-4578
NPI assigned
May 14, 2007
Last updated
Feb 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0102203413 VA Primary
Obstetrics & Gynecology Physician 207V00000X 5101015707 MI

Addresses

Primary practice location

2875 Barn Rd
Christiansburg, VA 24073-6389

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other identifiers 2

IdentifierTypeStateIssuer
5201450MedicaidMI
1922214527MedicaidVA

Other names 1

  • Dr. Carrie Lyn Kubitz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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
I20220106000131 NC Practitioner - Obstetrics/Gynecology 0749372316 Reassigns benefits to 3 organizations
I20240307004332 VA Practitioner - Osteopathic Manipulative Medicine 0749372316 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Sep 2, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Oct 8, 2022 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 24, 2024 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 24, 2024 Accepting new patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Oct 8, 2022 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

4130 Clemmons Rd
Clemmons, NC 27012
Phone (336) 277-1890

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

108 W Medical Park Dr
Lexington, NC 27292
Phone (336) 243-7054

1908 Caudle Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-9076

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

1302 Lexington Ave
Thomasville, NC 27360
Phone (336) 475-6139

111 Hanestown Ct
#151
Winston Salem, NC 27103
Phone (919) 334-0150

114 Charlois Blvd
Winston Salem, NC 27103

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

2001 Todays Woman Ave
Winston Salem, NC 27105
Phone (336) 722-1818

245 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 659-4777

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

2909 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 277-0340

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

656 E Monmouth St
Winston Salem, NC 27107
Phone (336) 718-4380

2875 Barn Rd
Christiansburg, VA 24073
Phone (540) 639-5786

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: carrie.champine.1@7773.direct.athenahealth.com
  • Direct secure messaging: carrie.champine@hca6.eclinicaldirectplus.com

Organizations & group practices 8

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1922214527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "fax_number": "540-951-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 BARN RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736389",
            "telephone_number": "540-731-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPINE",
        "first_name": "CARRIE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102203413",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101015707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5201450",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922214527",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "KUBITZ",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.