Active NPI
Patricia Ann Davis
- Attendant Care Provider
- Fair Bluff, NC
National Provider Identifier
1255084489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 539 Conway Rd Apt 202
Fair Bluff, NC 28439-9546 - Phone
- (843) 877-6591
- NPI assigned
- Jan 28, 2022
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
539 Conway Rd Apt 202
Fair Bluff, NC 28439-9546
Mailing address
539 Conway Rd Apt 202
Fair Bluff, NC 28439-9546
Phone (843) 877-6591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3747A0650X | Other | CAREGIVER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1255084489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 CONWAY RD APT 202",
"city": "FAIR BLUFF",
"state": "NC",
"postal_code": "284399546",
"telephone_number": "843-877-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 CONWAY RD APT 202",
"city": "FAIR BLUFF",
"state": "NC",
"postal_code": "284399546",
"telephone_number": "843-877-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PATRICIA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREGIVER",
"identifier": "3747A0650X",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fair Bluff, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.