Individual provider Active NPI

Stephanie Chavis, FNP-C

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1972129864
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013434 Issued in NC
Practice address
4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288
Phone
(910) 735-8040
Fax
(910) 735-8045
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013434 NC Primary

Addresses

Primary practice location

4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (910) 215-4111

Other practice location 1

800 Oakridge Blvd
Lumberton, NC 28358-2330
Phone (910) 738-2454

Other practice location 2

460 Country Club Rd
Lumberton, NC 28360-9494
Phone (910) 671-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schavis920043@direct.UNC.nchie.net Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928002006 NC Practitioner - Nurse Practitioner 1052730827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

800 Oakridge Blvd
Lumberton, NC 28358-2330
Phone (910) 738-2454

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013434NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Aug 20, 2024 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
County of Robeson Office of Treasurer CurrentSince Sep 1, 2020 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

460 Country Club Rd
Lumberton, NC 28360
Phone (910) 671-3200

4901 Dawn Dr
Ste 3200
Lumberton, NC 28360
Phone (910) 735-8040

800 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-2454

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: schavis920043@direct.unc.nchie.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1972129864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490",
            "telephone_number": "910-215-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DAWN DR STE 3200",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608288",
            "telephone_number": "910-735-8040",
            "fax_number": "910-735-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Oakridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582330",
            "country_code": "US",
            "telephone_number": "910-738-2454",
            "fax_number": "910-272-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283609494",
            "country_code": "US",
            "telephone_number": "910-671-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schavis920043@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "800 Oakridge Blvd",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283582330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.