Active NPI
Charles Oliver Beauchamp, M.D.
- Internal Medicine Physician
- Ahoskie, NC
National Provider Identifier
1962593525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Internal Medicine | Current | Accepting new patients |
| Bertie County Rural Health Association | Past | 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
- 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.
-
- Clinic Pharmacy
- Windsor, NC
- NPI 1801427711
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.