CHADBOURN FAMILY PRACTICE CENTER PA
NPI 1780643999
Clinic/Center - Rural Health in Chadbourn, NC
About Chadbourn Family Practice Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHADBOURN FAMILY PRACTICE CENTER PA (NPI 1780643999) is a healthcare organization registered as a rural health in Chadbourn, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Dollie Elkins, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chadbourn Family Practice Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Chadbourn Family Practice Center PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D0245934
Chadbourn Family Practice Center PA · Chadbourn, NCFrequently 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 Chadbourn Family Practice Center PA's NPI number?
The NPI number for Chadbourn Family Practice Center PA is 1780643999. It was assigned to this organization in the NPPES registry on March 17, 2006.
Where is Chadbourn Family Practice Center PA located?
Chadbourn Family Practice Center PA is located at 104 E 7th Ave, Chadbourn, NC 28431. The listed phone number is (910) 654-3143.
What is Chadbourn Family Practice Center PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Chadbourn Family Practice Center PA enrolled in Medicare?
Yes. Chadbourn Family Practice Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chadbourn Family Practice Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Chadbourn Family Practice Center PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Chadbourn Family Practice Center PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0245934) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Chadbourn Family Practice Center PA accept?
Health plans from Molina Healthcare list Chadbourn Family Practice Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chadbourn Family Practice Center PA was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Chadbourn Family Practice Center Pa · NPI 1780643999
Rural Health organization in Chadbourn, North Carolina. Organization record, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1780643999 (Entity type: Organization)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Dollie Elkins, PRACTICE MANAGER
## Practice location
- **Address:** 104 E 7TH AVE, Chadbourn, NC 28431-1402
- **Phone:** (910) 654-3143 · **Fax:** (910) 654-4144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2023
- **Other identifiers:** Medicaid 343918A (NC); Medicaid 343918C (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780643999) · Data from the CMS NPPES public registry.