Active NPI
Carlotta M Davis, APRN
- Adult Health Nurse Practitioner
- West Columbia, SC
National Provider Identifier
1265551014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APN1091
- Practice address
- 132 Sunset CT
West Columbia, SC 29169-2429 - Phone
- (803) 936-7450
- Fax
- (803) 936-7452
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APN1091 | SC | Primary |
Addresses
Primary practice location
132 Sunset CT
West Columbia, SC 29169-2429
Mailing address
PO Box 601964
Charlotte, NC 28260-1964
Phone (855) 477-2477
Other practice location 1
601 Center St
West Columbia, SC 29169-7219
Phone (803) 351-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2511 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdavis11364@direc.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN1091 | SC | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1265551014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601964",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601964",
"telephone_number": "855-477-2477",
"fax_number": "216-472-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 SUNSET CT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291692429",
"telephone_number": "803-936-7450",
"fax_number": "803-936-7452"
}
],
"practiceLocations": [
{
"address_1": "601 Center St",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291697219",
"country_code": "US",
"telephone_number": "803-351-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CARLOTTA",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "APN1091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2511",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdavis11364@direc.lexmed.com",
"affiliation": "N",
"address_1": "132 Sunset Ct",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291692429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.