NPIMap

Organization Active NPI

Davidson Surgical Associates, Inc.

  • Surgery Physician
  • Thomasville, NC
National Provider Identifier
1194706382
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39915 Issued in NC
Legal business name
DAVIDSON SURGICAL ASSOCIATES, INC.
Practice address
1219 Lexington Ave
Suite a
Thomasville, NC 27360-2870
Phone
(336) 475-7148
Fax
(336) 475-7031
NPI assigned
Nov 7, 2005
Last updated
Jan 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Mark D Smith, II, M.D.
Title
Corporate President
Phone
(336) 475-7148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 39915 NC Primary

Addresses

Primary practice location

1219 Lexington Ave
Suite a
Thomasville, NC 27360-2870

Mailing address

1219 Lexington Ave
Suite a
Thomasville, NC 27360-2870
Phone (336) 475-7148

Other identifiers 2

IdentifierTypeStateIssuer
01426OtherNCBCBS OF NC PROVIDER #
8901426MedicaidNC

National Provider Directory

National Provider Directory

Locations

208 W Center St
Ste B
Lexington, NC 27292
Phone (336) 249-8878

5 Medical Park Dr
Lexington, NC 27292
Phone (336) 236-2500

1219 Lexington Ave
Ste A
Thomasville, NC 27360
Phone (336) 324-3116

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1194706382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 LEXINGTON AVE",
            "address_2": "SUITE A",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602870",
            "telephone_number": "336-475-7148",
            "fax_number": "336-475-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 LEXINGTON AVE",
            "address_2": "SUITE A",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602870",
            "telephone_number": "336-475-7148",
            "fax_number": "336-475-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "SMITH, II",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "336-475-7148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "39915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER #",
            "identifier": "01426",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901426",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.