Provider Demographics
NPI:1831363712
Name:CHEPKE, CRAIG THOMAS MORGAN (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:THOMAS MORGAN
Last Name:CHEPKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CRAIG
Other - Middle Name:THOMAS
Other - Last Name:CHEPKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10225 HICKORYWOOD HILL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3431
Mailing Address - Country:US
Mailing Address - Phone:704-457-9292
Mailing Address - Fax:704-274-5783
Practice Address - Street 1:10225 HICKORYWOOD HILL AVE STE B
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3431
Practice Address - Country:US
Practice Address - Phone:704-457-9292
Practice Address - Fax:704-274-5783
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-000882084P0800X, 2084P0800X
NC127832390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC153KPOtherBCBS OF NC
NCP01315157OtherRR MEDICARE
NC2073567Medicare PIN
NC153KPOtherBCBS OF NC
NCDF8926OtherRAILROAD MEDICARE GROUP PTAN
NC2073567Medicare PIN