NPIMap

Organization Active NPI

Davie Medical Center

  • General Acute Care Hospital
  • Bermuda Run, NC
National Provider Identifier
1154326379
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0171 Issued in NC
Legal business name
DAVIE MEDICAL CENTER
Practice address
329 NC Highway 801 N
Bermuda Run, NC 27006-7905
Phone
(336) 998-1300
Fax
(336) 702-5701
NPI assigned
Jun 15, 2005
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Cathleen Wheatley, DNP
Title
President, WFB and DMC
Phone
(336) 713-4944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0171 NC Primary
Anesthesiology Physician 207L00000X

Addresses

Primary practice location

329 NC Highway 801 N
Bermuda Run, NC 27006-7905

Mailing address

329 NC Highway 801 N
Bermuda Run, NC 27006-7905
Phone (336) 751-8100

Other identifiers 4

IdentifierTypeStateIssuer
00085OtherNCBLUECROSS/BLUESHIELD
34-1313OtherNCMEDICARE CRITICAL ACCESS # ACTIVE UNTIL 12/31/2013
3401313MedicaidNC
34-U187OtherNCMEDICARE SNF

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154326379. Details of each certification follow.

Hospital certification: CCN 340187

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DAVIE MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Mar 1, 2024
Provider type (POS)
Hospital – Short-term
Participating since
Dec 31, 2013
Last certification
Dec 31, 2013
Beds
81
Ownership / control type
Private (not for profit)
Facility address
329 NC Hwy 801 N
Bermuda Run, NC 27006

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1154326379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NC HIGHWAY 801 N",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067905",
            "telephone_number": "336-751-8100",
            "fax_number": "336-716-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NC HIGHWAY 801 N",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067905",
            "telephone_number": "336-998-1300",
            "fax_number": "336-702-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT, WFB AND DMC",
        "authorized_official_telephone_number": "336-713-4944",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0171",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "00085",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CRITICAL ACCESS # ACTIVE UNTIL 12/31/2013",
            "identifier": "34-1313",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401313",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SNF",
            "identifier": "34-U187",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bermuda Run, NC

Sources for this page

Verify at the official NPI Registry.