DR. JOEL P CHISHOLM MD NPI 1194990622

NPI Information

NPI: 1194990622
Provider Name: DR. JOEL P CHISHOLM, MD
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Individual

Specialization: Addiction Psychiatry

PECOS Registration: Yes

Address:
375 SEQUOYAH TRL
CHEROKEE, NC
ZIP 28719
Phone: (828) 497-6892
Get Directions

DR. Joel P Chisholm, MD is an addiction psychiatry psychiatry neurology in Cherokee, NC with 16 years of experience. The provider is 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. DR. Joel P Chisholm, MD NPI is 1194990622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

375 SEQUOYAH TRL
CHEROKEE, NC
ZIP 28719
Phone: (828) 497-6892
Fax: (828) 497-1723

The NPI 1194990622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 1/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	MD47420	TENNESSEE	No
2	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	200901554	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1194990622	MEDICAID	NORTH CAROLINA
2	TRZA03YTS8	MEDICARE OSCAR/CERTIFICATION	NORTH CAROLINA
3	19AKY	OTHER	NORTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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