Davidson Clergy Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DAVIDSON CLERGY CENTER

Practice address

455 S Main St
Suite 200
Davidson, NC 28036-8019

Phone

(704) 895-6487

Fax

(704) 655-1481

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

George Warren Jacobs, M.DIV.

Title

Director

Phone

(704) 895-6487

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1245448893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368019",
            "telephone_number": "704-895-6487",
            "fax_number": "704-655-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368019",
            "telephone_number": "704-895-6487",
            "fax_number": "704-655-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON CLERGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-895-6487",
        "authorized_official_credential": "M.DIV."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS/Pharmacy
• Heather Margaret Daniels, LCSWA
• Christin S Darnell, MSN, FNP, RD, CDCES
• William Taylor Darsey, LCSW
• Joseph Scott Dastrup, D.D.S.
• Davidson Clinic
• Davidson College Student Health Service
• Davidson Family Medicine, P.a.
• Davidson Family Therapy
• Davidson Fire

• Community/Behavioral Health Agency in Davidson, NC
• Providers in Davidson, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.