Individual provider Active NPI

Charles Oliver Beauchamp, M.D.

  • Internal Medicine Physician
  • Ahoskie, NC
National Provider Identifier
1962593525
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20100 Issued in NC
Practice address
233 South St W
Ahoskie, NC 27910-3335
Phone
(252) 332-3333
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20100 NC Primary

Addresses

Primary practice location

233 South St W
Ahoskie, NC 27910-3335

Mailing address

233 South St W
Ahoskie, NC 27910-3335
Phone (252) 332-3333

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
I20080508000330 NC Practitioner - Internal Medicine 0840379376 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical Internal Medicine CurrentSince Aug 20, 2024 Accepting new patients
Bertie County Rural Health Association PastSince Feb 2, 2020 Accepting new patients
Theoria Medical Internal Medicine Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

205 Rattlesnake Trl
Pinehurst, NC 28374
Phone (910) 295-1781

237 Tryon Rd
Rutherfordton, NC 28139
Phone (828) 286-7200

Interoperability endpoints

  • Direct secure messaging: charles.beauchamp.1@8267.direct.athenahealth.com

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1962593525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 SOUTH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103335",
            "telephone_number": "252-332-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 SOUTH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103335",
            "telephone_number": "252-332-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "CHARLES",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "20100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.