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

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: July 19, 2026.

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

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
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

Other Names 1

Former Name (1)Coretta Queen Clemmons

Accepted 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.

Dietitian, Registered
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277
Physician Assistant
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277
Nurse Practitioner (Family)
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277
Social Worker (Clinical)
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277
Social Worker (Clinical)
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277
Social Worker
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277
Social Worker (Clinical)
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277
Social Worker (Clinical)
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255944716, enumerated as an "individual" on August 25, 2020.

The provider is located at 7940 WILLIAMS POND LN STE 150 CHARLOTTE, NC 28277 and the phone number is (704) 247-8355.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and. Please consult your insurance carrier or call the provider to verify.