Individual provider Active NPI

Brooke Alyssa Davis, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1003463969
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012191 Issued in NC
Practice address
2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027
Phone
(704) 342-1900
Fax
(704) 377-0353
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29425 SC
Family Nurse Practitioner 363LF0000X 5012191 NC Primary

Addresses

Primary practice location

2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027

Mailing address

PO Box 3710
Hickory, NC 28603-3710
Phone (704) 342-1900

Other practice location 1

127 Ben Casey Dr Ste 105
Fort Mill, SC 29708-6600
Phone (704) 342-1900

Other practice location 2

10635 Park Rd Ste F
Charlotte, NC 28210-8408
Phone (704) 342-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191120003378 NC Practitioner - Hematology/Oncology 6608208129 Reassigns benefits to 2 organizations
I20241202000300 SC Practitioner - Nurse Practitioner 6608208129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Oncology Specialist PAGroup PAC ID 5193720498, 17 clinicians
Oncology Specialists of Charlotte PAGroup PAC ID 9931112224, 9 clinicians

Practice addresses (Care Compare)

127 Ben Casey Dr
Suite 105
Fort Mill, SC 29708-6600
Phone (704) 342-9577

1700 1St Baxter Xing
Suite 102
Fort Mill, SC 29708-8950
Phone (704) 342-1900

2711 Randolph Rd
Suite 400
Charlotte, NC 28207-2027
Phone (704) 342-9577

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098

Merit-based Incentive Payment System (MIPS)

Final score
93.89 of 100Reported as group
Quality
83.01
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5012191NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Oncology Specialist PA CurrentSince Oct 1, 2019 Accepting new patients

Locations

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

7108 Pineville Matthews Rd
Ste 102
Charlotte, NC 28226
Phone (704) 342-1900

2630 E 7th St
Ste 210
Charlotte, NC 28204
Phone (704) 334-0600

10635 Park Rd
Ste F
Charlotte, NC 28210
Phone (704) 342-1900

127 Ben Casey Dr
Ste 105
Fort Mill, SC 29708
Phone (704) 342-9577

1700 1st Baxter Xing
Ste 102
Fort Mill, SC 29708
Phone (704) 342-1900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1003463969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3710",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033710",
            "telephone_number": "704-342-1900",
            "fax_number": "704-377-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-342-1900",
            "fax_number": "704-377-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Ben Casey Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086600",
            "country_code": "US",
            "telephone_number": "704-342-1900",
            "fax_number": "704-377-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10635 Park Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108408",
            "country_code": "US",
            "telephone_number": "704-342-1900",
            "fax_number": "704-377-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BROOKE",
        "middle_name": "ALYSSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.