Individual provider Active NPI

Timothy Hunter Davis, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1295698074
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15735 Issued in NC
Practice address
1220 Magnolia St FL 5
Greensboro, NC 27401-1309
Phone
(336) 938-0800
NPI assigned
Dec 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-15735 NC Primary

Addresses

Primary practice location

1220 Magnolia St FL 5
Greensboro, NC 27401-1309

Mailing address

1220 Magnolia St FL 5
Greensboro, NC 27401-1309
Phone (336) 938-0800

Other practice location 1

1121 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-7000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260205001859 NC Practitioner - Physician Assistant 8224517776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E Wendover Ave
Attn Payor Enrollment 2ND Floor
Greensboro, NC 27401-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-15735NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 23, 2026 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Feb 23, 2026 Accepting new patients

Locations

1220 Magnolia St
Greensboro, NC 27401
Phone (336) 938-0080

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1220 Magnolia St
Fl 5
Greensboro, NC 27401
Phone (336) 938-0800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1295698074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MAGNOLIA ST FL 5",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011309",
            "telephone_number": "336-938-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MAGNOLIA ST FL 5",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011309",
            "telephone_number": "336-938-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 N Church St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011007",
            "country_code": "US",
            "telephone_number": "336-832-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TIMOTHY",
        "middle_name": "HUNTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.