Individual provider Active NPI

Novlet Jarrett Davis, MD

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1003802083
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200400131 Issued in NC
Practice address
875 Walnut St # 275-9
Cary, NC 27511-4215
Phone
(919) 749-6288
Fax
(919) 443-1268
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200400131 NC Primary

Addresses

Primary practice location

875 Walnut St # 275-9
Cary, NC 27511-4215

Mailing address

3043 Kilarney Ridge Loop
Cary, NC 27511-5174
Phone (336) 740-2160

Other identifiers 4

IdentifierTypeStateIssuer
188813OtherNCMEDCOST
5903674MedicaidNC
808427OtherNCPARTNERS
143MMOtherNCBCBS OF NC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RAleighHolisticHealthcare@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060808000234 NC Practitioner - Internal Medicine 9335165703 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200400131NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Mar 1, 2017 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Mar 1, 2017 Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Sep 23, 2017 Accepting new patients
Louisburg Hospitalists, PLLC Past Accepting new patients
Pinnacle Health Group PA Internal Medicine Past Accepting new patients

Locations

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1003802083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 KILARNEY RIDGE LOOP",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115174",
            "telephone_number": "336-740-2160",
            "fax_number": "919-443-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WALNUT ST # 275-9",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114215",
            "telephone_number": "919-749-6288",
            "fax_number": "919-443-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NOVLET",
        "middle_name": "JARRETT",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200400131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "188813",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903674",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "808427",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "143MM",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RAleighHolisticHealthcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "raleighholistichealthcare@gmail.com",
            "address_1": "875 Walnut St # 275-9",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275114215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.