Individual provider Active NPI

Antwon Tramaine Chavis, MD

  • Pediatrics Physician
  • Durham, NC
National Provider Identifier
1932442217
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2024-00650 Issued in NC
Practice address
234 Crooked Creek Pkwy Ste 110
Durham, NC 27713-8507
Phone
(919) 620-5333
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD176915 OR
Pediatric Hematology & Oncology Physician 2080P0207X MD176915 OR
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 2024-00650 NC Primary

Addresses

Primary practice location

234 Crooked Creek Pkwy Ste 110
Durham, NC 27713-8507

Mailing address

234 Crooked Creek Pkwy Ste 110
Durham, NC 27713-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240604001930 NC Practitioner - Pediatric Medicine 5193951697 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD176915ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince May 6, 2024 Accepting new patients
Metropolitan Pediatrics, LLC Pediatrics Past Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3116 N Duke St
Durham, NC 27704
Phone (919) 620-5333

234 Crooked Creek Pkwy
Durham, NC 27713
Phone (919) 385-3000

234 Crooked Creek Pkwy
Ste 110
Durham, NC 27713
Phone (859) 200-3726

Interoperability endpoints

  • Direct secure messaging: achavis578807@direct.medicine.duke.edu

Organizations & group practices 2

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1932442217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CROOKED CREEK PKWY STE 110",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CROOKED CREEK PKWY STE 110",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138507",
            "telephone_number": "919-620-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "ANTWON",
        "middle_name": "TRAMAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD176915",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "OR",
            "license": "MD176915",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2024-00650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.