ANDREA JANELLE CHILTON
NPI 1558739292
Social Worker - Clinical in Durham, NC

Active since September 11, 2015PECOS Enrolled
100 CAPITOLA DR STE 310, DURHAM, NC 27713(919) 474-6408 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrea Janelle Chilton NPPES

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

ANDREA JANELLE CHILTON (NPI 1558739292) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (C011205) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1558739292
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA JANELLE CHILTON
Location Address100 CAPITOLA DR STE 310Durham, NC 27713-4497
Mailing Address100 Capitola Dr Ste 310Durham, NC 27713-4497 · (919) 474-6408
Sole ProprietorNo
Enumeration DateSeptember 11, 2015
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1558739292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C011205
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
100 CAPITOLA DR STE 310, Durham, NC 27713

Secondary Practice Location 1

Location 123 Sunnybrook RdRaleigh, NC 27610-1855 · Phone (919) 235-6435

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Janelle Chilton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Chilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Social Worker
2213 ELBA ST
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,503 clinicians in this Medicare group
Obesity Medicine
160 MACGREGOR PINES DR
Cary, NC 27511
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
27 services11 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 12

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

Social Worker (Clinical)
100 CAPITOLA DR STE 310
DURHAM, NC 27713
Counselor (Mental Health)
100 CAPITOLA DR STE 310
DURHAM, NC 27713
Counselor
100 CAPITOLA DR STE 310
DURHAM, NC 27713
Counselor (Mental Health)
100 CAPITOLA DR STE 310
DURHAM, NC 27713
Counselor (Mental Health)
100 CAPITOLA DR STE 310
DURHAM, NC 27713
Counselor (Mental Health)
100 CAPITOLA DR STE 310
DURHAM, NC 27713
Counselor (Mental Health)
100 CAPITOLA DR STE 310
DURHAM, NC 27713
Community/Behavioral Health
100 CAPITOLA DR STE 310
DURHAM, NC 27713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Chilton's NPI number?

The NPI number for Andrea Chilton is 1558739292. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Where is Andrea Chilton located?

Andrea Chilton practices at 100 Capitola Dr Ste 310, Durham, NC 27713. The listed phone number is (919) 474-6408.

What is Andrea Chilton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Andrea Chilton enrolled in Medicare?

Yes. Andrea Chilton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Chilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Chilton reassigns Medicare benefits to 2 organizations: Duke University Health System, Inc. (Durham, NC) and Wakemed Specialists Group, LLC (Cary, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Chilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Chilton was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.