Davidson Pediatric Partners, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DAVIDSON PEDIATRIC PARTNERS, PLLC

Doing business as

Davidson Pediatric & Adolescent Medicine

Practice address

741 Vineyards Xing
Lexington, NC 27295-2076

Phone

(336) 300-8594

NPI assigned

Jul 1, 2013

Last updated

Feb 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roberts Edgar Timberlake Jr., MDNPI 1821071531

Title

Member, Co-Manager

Phone

(336) 300-8594

Specialties & licenses 1

Addresses

Other names 1

• Davidson Pediatric & Adolescent Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Roberts Edgar Timberlake Jr., MD

  • Pediatrics Physician
  • Lexington, NC
  • NPI 1821071531
  NPD (past) Authorized official
• James Otis Burke Jr., MD

  • Pediatrics Physician
  • Lexington, NC
  • NPI 1881679330
  NPD (past)
• Margaret Amanda Loda, MD

  • Pediatrics Physician
  • Lexington, NC
  • NPI 1861475584
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1174963466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 VINEYARDS XING",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952076",
            "telephone_number": "336-300-8594",
            "fax_number": "336-300-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 VINEYARDS XING",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952076",
            "telephone_number": "336-300-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON PEDIATRIC PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "TIMBERLAKE",
        "authorized_official_first_name": "ROBERTS",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "MEMBER, CO-MANAGER",
        "authorized_official_telephone_number": "336-300-8594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson Pediatric & Adolescent Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Davidson Eye Associates PA
• Davidson Health & Rehab Center, LLC
• Davidson Home Health, Inc. (Home Health Professionals)
• Davidson Home Health, Inc. (Home Health Professionals)
• Davidson Optical Design
• Herbert Crippon Davis Jr., DDS
• Carmen Davis, HIS
• Elizabeth Ann Davis
• Elizabeth Danielle Davis, MS, OTR/L
• Keith Alan Davis, LCMHCA

• Pediatrics Physician in Lexington, NC
• Providers in Lexington, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.