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CHADBOURN FAMILY PRACTICE CENTER PA
NPI 1780643999
Clinic/Center - Rural Health in Chadbourn, NC

Active since March 17, 2006CLIA 34D0245934 · Waiver
104 E 7TH AVE, CHADBOURN, NC 28431(910) 654-3143(910) 654-4144 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Mar 16, 2023, Jul 11, 2022 and 2 more (5 updates tracked since 2021).

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, 2026 and lists Dollie Elkins, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1780643999
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCHADBOURN FAMILY PRACTICE CENTER PA
Location Address104 E 7TH AVEChadbourn, NC 28431-1402
Mailing Address104 E 7th AveChadbourn, NC 28431-1402 · (910) 654-3143 · Fax (910) 654-4144
Phone(910) 654-3143
Fax(910) 654-4144
Organization SubpartNo
Authorized OfficialDollie ElkinsPractice Manager · (910) 654-3143
Enumeration DateMarch 17, 2006
Last NPPES UpdateSeptember 6, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1780643999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
104 E 7TH AVE, Chadbourn, NC 28431
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Other Identifiers 2

Medicaid343918ANC
Medicaid343918CNC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare.Insurance ›

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, NC
Active · expires Aug 31, 2026
CLIA Number34D0245934
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEssam S. Eskander
Laboratory Phone(910) 654-3143
Laboratory LocationChadbourn Family Practice Center PA104 7th Avenue, Chadbourn, NC 28431
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KASSIE J SIMMONS FNP-C
Nurse Practitioner (Primary Care)
104 E 7TH AVE
CHADBOURN, NC 28431
Columbus County (910) 654-3143
DR. MICHAEL FITCH M.D.
Family Medicine
104 E 7TH AVE
CHADBOURN, NC 28431
Columbus County (910) 654-3143
MR. PHILLIP TIMOTHY SEAMANS PA
Physician Assistant (Medical)
104 E 7TH AVE
CHADBOURN, NC 28431
Columbus County (910) 654-3143
MRS. PAMELA F JOHNSON FNP
Nurse Practitioner (Family)
104 E 7TH AVE
CHADBOURN, NC 28431
Columbus County (910) 654-3143

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 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.

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, 2026. 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 Ambetter from Absolute Total Care, Ambetter of North Carolina and 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 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.