Jared Carter-Davis, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5014382 Issued in NC

Practice address

2390 Hemby LN
Greenville, NC 27834-3775

Phone

(252) 744-4500

Fax

(252) 744-5713

NPI assigned

Oct 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20090/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Philadelphia Health Action Inc.

  dba GPHA Woodland Ave. Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1205140902
  Medicare reassignment NPD
• Greater Philadelphia Health Action, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1275151607
  NPD
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662
  NPD
• Roanoke Chowan Community Health Center Inc

  dba Colerain Primary Care

  • Federally Qualified Health Center (FQHC)
  • Colerain, NC
  • NPI 1790851004
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1245705748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343775",
            "telephone_number": "252-744-4500",
            "fax_number": "252-744-5713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191474717",
            "country_code": "US",
            "telephone_number": "215-339-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279108161",
            "country_code": "US",
            "telephone_number": "252-332-3548",
            "fax_number": "252-332-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W Main St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "NC",
            "postal_code": "278979802",
            "country_code": "US",
            "telephone_number": "252-587-3511",
            "fax_number": "252-587-3145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER-DAVIS",
        "first_name": "JARED",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP019375",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5014382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Carroll
• Beth Ann Carroll, AU.D.
• Courtney Evans Carrouth, NP-C
• Carter Behavior Health Services
• Carter Behavior Health Services, Inc.
• Aaron Michael Carter, MD
• Eileen Carter, PA
• Hanna Ruby Carter, DMD
• Matt Carter
• Melissa Anne Carter, M.S., CCC-SLP

• Adult Health Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.