NPIMap

Individual provider Active NPI

James F Davidson IV, M.D.

  • Pulmonary Disease Physician
  • Morganton, NC
National Provider Identifier
1265744429
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2013-01289 Issued in NC
Practice address
2209 S Sterling St Ste 600
Morganton, NC 28655-4092
Phone
(828) 580-4577
Fax
(828) 580-4599
NPI assigned
Jul 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2013-01289 NC Primary

Addresses

Primary practice location

2209 S Sterling St Ste 600
Morganton, NC 28655-4092

Mailing address

2209 S Sterling St Ste 600
Morganton, NC 28655-4092
Phone (828) 580-4577

Other practice location 1

2293 Sugar Hill Rd Ste A
Marion, NC 28752-7787
Phone (828) 652-8727

Other practice location 2

117 Foothills Dr
Morganton, NC 28655-5152
Phone (828) 580-2700

Other identifiers 1

IdentifierTypeStateIssuer
1265744429MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815000017 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1355591595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Health Community Multispecialty Providers LLCGroup PAC ID 9537468574, 601 clinicians

Practice addresses (Care Compare)

30 Choctaw St
Suite a
Asheville, NC 28801-4514
Phone (828) 213-1740

Hospital & facility affiliations

  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • The McDowell Hospital Hospital, Marion, NC, CCN 340087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Aug 27, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Pulmonary Disease CurrentSince Apr 18, 2022 Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Aug 27, 2019 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

30 Choctaw St
Ste A
Asheville, NC 28801
Phone (828) 255-7733

2293 Sugar Hill Rd
Ste A
Marion, NC 28752
Phone (828) 580-1364

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 600
Morganton, NC 28655
Phone (828) 580-2250

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jdavidson190646@direct.unc.nchie.net

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265744429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 600",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554092",
            "telephone_number": "828-580-4577",
            "fax_number": "828-580-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 600",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554092",
            "telephone_number": "828-580-4577",
            "fax_number": "828-580-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2293 Sugar Hill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527787",
            "country_code": "US",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Foothills Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555152",
            "country_code": "US",
            "telephone_number": "828-580-2700",
            "fax_number": "828-432-9833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2013-01289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265744429",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.