Active NPI
Jaime Nicole Davis, FNP
- Family Nurse Practitioner
- Fuquay Varina, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016585
- Practice address
- 1876 N Broad St
Fuquay Varina, NC 27526-3657 - Phone
- (984) 265-2101
- NPI assigned
- Jul 25, 2022
- Last updated
- Jul 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016585 | NC | Primary |
Addresses
Primary practice location
1876 N Broad St
Fuquay Varina, NC 27526-3657
Mailing address
1876 N Broad St
Fuquay Varina, NC 27526-3657
Phone (984) 265-2101
Other practice location 1
2011 Falls Valley Dr Ste 100
Raleigh, NC 27615-3452
Phone (919) 341-5042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6047 Tyvola Glen Cir
Suite 100
Charlotte, NC 28217-6431
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Chma of NC | Current | Accepting new patients | |
| The Menopause Center PLLC | Family | Past | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
6047 Tyvola Glen Cir
Charlotte, NC 28217
Phone (203) 238-7754
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1982364469
-
dba Peri & Pause
- Family Nurse Practitioner
- Fuquay Varina, NC
- NPI 1164212247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1255066189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1876 N BROAD ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263657",
"telephone_number": "984-265-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1876 N BROAD ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263657",
"telephone_number": "984-265-2101"
}
],
"practiceLocations": [
{
"address_1": "2011 Falls Valley Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276153452",
"country_code": "US",
"telephone_number": "919-341-5042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JAIME",
"middle_name": "NICOLE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.
- 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.