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

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 3

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

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 (21 clinicians)

Practice addresses (Care Compare)

1106 Main St Ext
Swansboro, NC 28584-9114
Phone (910) 325-0581

Hospital & facility affiliations

  • Well Care Home Health Home health agency · Wilmington, NC · CCN 347002
  • Centerwell Home Health Home health agency · Pollocksville, NC · CCN 347333
  • Onslow Memorial Hospital Hospital · Jacksonville, NC · CCN 340042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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 IDStateProvider typePAC IDDetails
I20040510001330 NC Practitioner - Family Practice 8628067147 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9800021NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Children'S and Multispecialty Clinic, PA Family Medicine Current
since Apr 22, 2008
Accepting new patients
Amm Healthcare, PA Family Medicine Current
since Mar 1, 2022
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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89127HMMedicaidNC

Other providers in Elon, NC

All providers in Elon, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.