Active NPI
Novlet Jarrett Davis, MD
- Internal Medicine Physician
- Cary, NC
National Provider Identifier
1003802083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200400131
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188813 | Other | NC | MEDCOST |
| 5903674 | Medicaid | NC | |
| 808427 | Other | NC | PARTNERS |
| 143MM | Other | NC | BCBS OF NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400131 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Moses Cone Physician Services Inc | Current | 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.
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- Diagnostic Radiology Physician
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-
- Hospitalist Physician
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- NPI 1326363383
-
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- Louisburg, NC
- NPI 1538448691
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1023004231
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.