Alexander C Chavez, M.D.
Individual provider Active NPI Family Medicine Physician · Elon, NC
NPI 1982603163 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1982603163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9800021 (NC)
- Practice address
- 812 W Haggard Ave
Elon, NC 27244-9134 - Phone
- (336) 449-4030
- Fax
- (336) 449-5315
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Michigan Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jacksonville Children'S and Multispecialty Clinic, PA
Practice addresses (Care Compare)
1106 Main St Ext
Swansboro, NC 28584-9114
Phone (910) 325-0581
Hospital & facility affiliations
- Well Care Home Health
- Centerwell Home Health
- Onslow Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040510001330 | NC | Practitioner - Family Practice | 8628067147 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9800021 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Children'S and Multispecialty Clinic, PA | Family Medicine | Current |
Accepting new patients |
| Amm Healthcare, PA | Family Medicine | Current |
Accepting new patients |
| Family Care Clinic, P.a. | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
319 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3345
124 Towerview Ct
Cary, NC 27513
100 Ridge View Dr
Ste 105
Cary, NC 27511
Phone (919) 851-7867
812 W Haggard Ave
Elon College, NC 27244
Phone (336) 449-4030
120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976
1106 Main Street Ext
Swansboro, NC 28584
Phone (910) 325-0581
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9800021 | NC | Yes |
Addresses
Primary practice location
812 W Haggard Ave
Elon, NC 27244-9134
Mailing address
PO Box 986513
Dept 200
Boston, MA 02298-6513
Phone (910) 219-8310
Other practice location 1
100 Ridge View Dr Ste 105
Cary, NC 27511-5589
Phone (919) 859-7044
Other practice location 2
1106 Main Street Ext
Swansboro, NC 28584-9114
Phone (910) 325-0581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89127HM | Medicaid | NC |
Other providers in Elon, NC
- David M Bronstein
- Burlington Transport LLC
- Heather Lynn Burris
- Danielle Carter
- Susan B. Parker Chapman
- Katie Marie Chrisco
- Mia Cameron Cleary
- Adriana Cline
- William Cloud Jr.
- Laura A Cobb
All providers in Elon, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.