Leslie J Davis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

139414 Issued in NC

Practice address

3431 Walkertown Commons Dr
Walkertown, NC 27051-9152

Phone

(336) 564-4101

Fax

(336) 595-2035

NPI assigned

Apr 16, 2007

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Paige Jordan Kinsley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ldavis18939@direct.novanthealth.org

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

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  dba Frederick Health Hospital

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• Pediatric Emergency Specialists, PC

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1104041755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 WALKERTOWN COMMONS DR",
            "city": "WALKERTOWN",
            "state": "NC",
            "postal_code": "270519152",
            "telephone_number": "336-564-4101",
            "fax_number": "336-595-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LESLIE",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004872",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12521",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "139414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004567",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldavis18939@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3431 Walkertown Commons Dr",
            "city": "Walkertown",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270519152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "KINSLEY",
            "middle_name": "JORDAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan James Clayton
• Valerie Rydberg Cole, PHARMD
• Ann Y Collins, PA-C
• Carolyn Gillespie Cook
• Lindsay Ann Cooper, PHARMD
• Pamela Ingram Earnhardt, PHARM.D.
• Ed-Core, Inc (Triad Homes-NC)
• Eyecarecenter OD PA
• Milton McIntyre Fairly III, RPH
• Forsyth Memorial Hospital, Inc (Novant Health Walkertown Family Medicine)

• Nurse Practitioner in Walkertown, NC
• Providers in Walkertown, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.

Verify at the official NPI Registry.