CORETTA QUEEN CHAFFIN
NPI 1255944716
Dietitian, Registered in Charlotte, NC

Q: What is Coretta Chaffin's NPI number?

The NPI number for Coretta Chaffin is 1255944716. It was assigned to this individual provider in the NPPES registry on August 25, 2020. The provider is also known as Coretta Queen Clemmons.

Q: What is Coretta Chaffin's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Coretta Chaffin was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2020Accepts Medicare Assignment

7940 WILLIAMS POND LN STE 150, CHARLOTTE, NC 28277(704) 247-8355 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2020, Sep 1, 2020, Aug 25, 2020 (3 updates tracked since 2020).

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About Coretta Queen Chaffin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORETTA QUEEN CHAFFIN (NPI 1255944716) is an individual dietitian, registered in Charlotte, North Carolina, licensed in North Carolina (810909) and active in the NPI registry since August 2020. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1255944716

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameCORETTA QUEEN CHAFFIN

Location Address7940 WILLIAMS POND LN STE 150Charlotte, NC 28277-8409

Mailing Address3717 Old Wagon RdCharlotte, NC 28269-1994 · (704) 562-5331

Phone(704) 247-8355

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 25, 2020

Last NPPES UpdateSeptember 16, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2020

✔ NPI 1255944716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NC · 810909

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

7940 WILLIAMS POND LN STE 150, Charlotte, NC 28277

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Other Names 1

Former Name (1)Coretta Queen Clemmons

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Coretta Queen Chaffin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234558743

PECOS Enrollment IDI20201002000948

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON BALDWIN

Counselor (Mental Health)