Barbara Mary Davenport, M.D.
Individual provider Active NPI Geriatric Psychiatry Physician · Rutherfordton, NC
NPI 1174771844 · NPPES record last updated Jan 3, 2011
Key facts
- NPI
- 1174771844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Psychiatry Physician 2084P0805X
- License
- 9400230 (NC)
- Practice address
- 152 Muscadine RDG
Rutherfordton, NC 28139-6807 - Phone
- (828) 288-9766
- NPI assigned
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9400230 | NC | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| Gaston-Lincoln-Cleveland Mental Health Substance Abuse DD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9400230 | NC | |
| Geriatric Psychiatry Physician | 2084P0805X | 9400230 | NC | Yes |
Addresses
Primary practice location
152 Muscadine RDG
Rutherfordton, NC 28139-6807
Mailing address
152 Muscadine RDG
Rutherfordton, NC 28139-6807
Phone (828) 288-9766
Other providers in Rutherfordton, NC
- Cleveland Health Ventures LLC
- Comprehensive Pain Consultants of the Carolinas PLLC
- Michael Barry Couser
- Kerry Natasha Crain
- Brenton S Curry
- Jerald Albert Delagarza
- Victoria Ann Delestowicz
- Dellinger Family Care
- Andrew Demeusy
- DLP Rutherford Physician Practices LLC
All providers in Rutherfordton, NC · Geriatric Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.