Active NPI
Donna Sanderson Davidson, FNP
- Family Nurse Practitioner
- Mount Pleasant, SC
National Provider Identifier
1194488403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25755
- Practice address
- 2114 Highway 41 Ste 105
Mount Pleasant, SC 29466-6204 - Phone
- (843) 388-9000
- Fax
- (843) 388-6937
- NPI assigned
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-078074 | AL | |
| Family Nurse Practitioner | 363LF0000X | 25755 | SC | Primary |
Addresses
Primary practice location
2114 Highway 41 Ste 105
Mount Pleasant, SC 29466-6204
Mailing address
2114 Highway 41 Ste 105
Mount Pleasant, SC 29466-6204
Phone (843) 388-9000
Other practice location 1
1241 Woodland Ave
Mount Pleasant, SC 29464-3288
Phone (843) 388-9000
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-078074 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1194488403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 HIGHWAY 41 STE 105",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294666204",
"telephone_number": "843-388-9000",
"fax_number": "843-388-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 HIGHWAY 41 STE 105",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294666204",
"telephone_number": "843-388-9000",
"fax_number": "843-388-6937"
}
],
"practiceLocations": [
{
"address_1": "1241 Woodland Ave",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294643288",
"country_code": "US",
"telephone_number": "843-388-9000",
"fax_number": "843-388-6937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "DONNA",
"middle_name": "SANDERSON",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-078074",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "25755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.