DR. JOEL P CHISHOLM (NPI# 1194990622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194990622 |
| Entity Type | Individual |
| Full Name | DR. JOEL P CHISHOLM |
| Credential | MD |
| Practice Address |
375 Sequoyah Trl Cherokee NC 28719 |
| Mailing Address |
1 Hospital Rd Caller Box C-268 Cherokee NC 28719-9253 |
| Practice Telephone | 8284976892 |
| Practice Fax Number | 8284971723 |
| Mailing Telephone | 8284979163 |
| Mailing Fax Number | 8284971723 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD47420 | TN | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
200901554 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 19AKY | 01 |
| NC | 1194990622 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326352766 | Joel Chisholm | Specialist/Technologist | 3036 S Semoran Blvd # M-6, Orlando, FL 32822-1608 | 2010-07-27 |
| Street Address |
375 SEQUOYAH TRL |
| City | CHEROKEE |
| State | NC |
| Zip Code | 28719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629106315 | Janice G. Lambert | Counselor | 375 Sequoyah Trl, Cherokee, NC 28719 | 2007-03-02 |
| 1073147351 | Morgan Buckner | Counselor | 375 Sequoyah Trl, Cherokee, NC 28719 | 2020-02-26 |
| 1629632419 | Rebecca Barker | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2019-04-26 |
| 1386208494 | Joseph Dwayne Lambert | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2019-04-24 |
| 1578039343 | Jill Marie Wright-smith | Peer Specialist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2018-10-19 |
| 1922574615 | Billie Jo Rich | Peer Specialist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2018-10-19 |
| 1255807202 | Lara Conner | Peer Specialist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2018-10-17 |
| 1245699016 | School Specified | Psychologist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2016-02-22 |
| 1154703833 | Tishina Maxine Carroll | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2015-06-18 |
| 1861897100 | Leslie M Duncan | Social Worker | 375 Sequoyah Trl, Cherokee, NC 28719 | 2014-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1033728183 | Shannon S. Casey | Registered Nurse | 448 Sequoyah Trl, Cherokee, NC 28719 | 2020-07-24 |
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1730669078 | Olivia M Reed | Social Worker | 188 Cherokee Hospital Loop # C268, Cherokee, NC 28719 | 2018-08-16 |
| 1013468156 | Jonathan Mitzel | Specialist/Technologist | 200 Ravensford Drive, Cherokee, NC 28719 | 2016-10-24 |
| 1114393709 | Izabela Halina Lubinska-welch | Registered Nurse | 188 Cherokee Hospital Loop, Cherokee, NC 28719 | 2015-08-18 |
| 1801284542 | Cherokee Indian Hospital Authority | Psychologist | 77 Paint Town Rd, Cherokee, NC 28719 | 2015-01-05 |
| 1942608120 | Ciha Juvenile Services | Clinic/Center | 85 Childrens Home Loop, Cherokee, NC 28719 | 2014-12-19 |
| 1104171081 | Christopher Mcknight | Student in an Organized Health Care Education/Training Program | 188 Hospital Rd, Cherokee, NC 28719 | 2012-07-17 |
| Find all providers in zip 28719 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134625643 | Kami Harris | Psychiatry & Neurology | 7826 Spungold St, Raleigh, NC 27617-8603 | 2018-04-03 |
| 1174922348 | Center for Emotional Health | Psychiatry & Neurology | 640 Summit Cross Place, Suite 203, Gastonia, NC 28054 | 2014-08-14 |
| 1033421797 | Haven Ministries, Inc. | Psychiatry & Neurology | 411 Redcross St, Wilmington, NC 28401-3455 | 2010-07-11 |
| 1730183641 | John Thomas Moranville | Psychiatry & Neurology | 302 Penny Ln, Morehead City, NC 28557-4306 | 2005-06-08 |
| 1447565536 | Diagnosis and Assessent of Emotions-health Services, Pllc | Psychiatry & Neurology | 3316 Neuse Blvd, New Bern, NC 28560-4110 | 2010-08-12 |
| 1548582554 | Clientfirst of Nc, LLC | Psychiatry & Neurology | 2719 Graves Dr, Suite 5, Goldsboro, NC 27534-4536 | 2010-02-17 |
| 1437483872 | Cornerstone Treatment Facility, Inc. | Psychiatry & Neurology | 129 Wallace Road, Wadesboro, NC 28170-2434 | 2009-10-01 |
| 1487826061 | Jeremy Don Harrison | Psychiatry & Neurology | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2008-03-24 |
| 1053501056 | Southeastern Home Health Care Services Inc | Psychiatry & Neurology | 1892 Turnpike Road, Raeford, NC 28376-9998 | 2007-07-26 |
| 1245437631 | Roy Dewayne Book | Psychiatry & Neurology | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2007-06-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.