NPIMap

Individual provider Active NPI

Heather Hanes Davis, PA-C

  • Physician Assistant
  • Nashville, NC
National Provider Identifier
1023190477
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103803 Issued in NC
Practice address
107 W Nashville Dr Ste a
Nashville, NC 27856-1289
Phone
(252) 676-8285
Fax
(252) 462-5232
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103803 NC Primary
Medical Physician Assistant 363AM0700X 103803 NC

Addresses

Primary practice location

107 W Nashville Dr Ste a
Nashville, NC 27856-1289

Mailing address

107 W Nashville Dr Ste a
Nashville, NC 27856-1289
Phone (252) 676-8285

Other names 1

  • Heather Denise Hanes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000108 NC Practitioner - Physician Assistant 0749243996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care and Urgent Care of Nashville, PLLCGroup PAC ID 4880069533, 5 clinicians

Practice addresses (Care Compare)

107 W Nashville Dr
Nashville, NC 27856-1289
Phone (252) 822-3583

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Centerwell Home Health Home health agency, Rocky Mount, NC, CCN 347328
  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103803NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Wellness Infusion Clinic PLLC PastSince Apr 22, 1996 Accepting new patients
Fastmed Urgent Care PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDABDD/Endpoint/JDABDD

Organizations & group practices 3

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 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1023190477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W NASHVILLE DR STE A",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561289",
            "telephone_number": "252-676-8285",
            "fax_number": "252-462-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W NASHVILLE DR STE A",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561289",
            "telephone_number": "252-676-8285",
            "fax_number": "252-462-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEATHER",
        "middle_name": "HANES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103803",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HANES",
            "middle_name": "DENISE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, NC

Sources for this page

Verify at the official NPI Registry.