Active NPI
Carrie Lyn Champine, D.O.
- Obstetrics & Gynecology Physician
- Christiansburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0102203413
- Practice address
- 2875 Barn Rd
Christiansburg, VA 24073-6389 - Phone
- (540) 731-4578
- NPI assigned
- May 14, 2007
- Last updated
- Feb 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201450 | Medicaid | MI | |
| 1922214527 | Medicaid | VA |
Other names 1
- Dr. Carrie Lyn Kubitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg North Carolina, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Uwh of the Carolinas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current | 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
- carrie.champine.1@7773.direct.athenahealth.com
- 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.
-
dba Bridgewater College Student Health Center
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1124300876
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Obstetrics & Gynecology Physician
- Winston Salem, NC
- NPI 1841427200
-
dba Mid Carolina Cardiology
- Interventional Cardiology Physician
- Charlotte, NC
- NPI 1205836434
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.