Kenyon M Chavis (NPI# 1578710141, PAC ID# 8426124553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578710141 |
| PAC ID by PECOS | 8426124553 |
| Professional Enrollment ID | I20080913000121 |
| Full Name | Kenyon M Chavis |
| Organization Legal Name | GENERAL MEDICINE OF NORTH CAROLINA PC |
| Address |
214 Cochran Ave Fayetteville NC 28301-3875 |
| Phone Number | 9104824131 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8123303260 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 214 Cochran Ave, Fayetteville, NC 28301-3875 | 9104824131 | GENERAL MEDICINE OF NORTH CAROLINA PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 25% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 25% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 98% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 98% |
| Organization Legal Name | GENERAL MEDICINE OF NORTH CAROLINA PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Ann Dickerson | Nurse Practitioner | General Medicine of North Carolina PC | 214 Cochran Ave, Fayetteville, NC 28301-3875 |
| Ma Cornelia V Leano | Nurse Practitioner | General Medicine of North Carolina PC | 214 Cochran Ave, Fayetteville, NC 28301-3875 |
| Street Address |
214 COCHRAN AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28301-3875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Ann Dickerson | Nurse Practitioner | General Medicine of North Carolina PC | 214 Cochran Ave, Fayetteville, NC 28301-3875 |
| Ma Cornelia V Leano | Nurse Practitioner | General Medicine of North Carolina PC | 214 Cochran Ave, Fayetteville, NC 28301-3875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscilla S Burton | Clinical Social Worker | Life Matters Centers for Hope, Health and Healing | 408 Waddell Dr, Fayetteville, NC 28301-2860 |
| Pearlie M Hodges | Clinical Social Worker | Life Matters Centers for Hope, Health and Healing | 408 Waddell Dr, Fayetteville, NC 28301-2860 |
| Zachary James Roth | Chiropractic | 2807 Ramsey St, Fayetteville, NC 28301-3109 | |
| Mehmet Ergun | Chiropractic | 3217 Ramsey St, Fayetteville, NC 28301-3183 | |
| Sandra M Carr | Family Medicine | Stedman - Wade Health Services, Inc | 2409 Murchison Rd, Fayetteville, NC 28301-3519 |
| Nancy L Henderson-hines | Family Medicine | Stedman - Wade Health Services, Inc | 2409 Murchison Rd, Fayetteville, NC 28301-3519 |
| Tandeka N Burks | Family Medicine | Stedman - Wade Health Services, Inc | 2409 Murchison Rd, Fayetteville, NC 28301-3519 |
| Lori A Haigler | Family Medicine | 1235 Ramsey St, Fayetteville, NC 28301-4401 | |
| Michelle N Jennings | Nurse Practitioner | County of Cumberland | 1235 Ramsey St, Fayetteville, NC 28301-4401 |
| Lan P Tran-phu | Pediatric Medicine | County of Cumberland | 1235 Ramsey St, Fayetteville, NC 28301-4401 |
| Find all physicians in zip 28301 | |||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FAYETTEVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenyon M Chavis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.