Terry Ann Donovan, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

203 Issued in NC

Practice address

6341 Cook Ave
Ste a
Clemmons, NC 27012-9380

Phone

(336) 766-8400

Fax

(336) 766-8486

NPI assigned

Jun 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1295739019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270120268",
            "telephone_number": "336-766-8400",
            "fax_number": "336-766-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 COOK AVE",
            "address_2": "STE A",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129380",
            "telephone_number": "336-766-8400",
            "fax_number": "336-766-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "203",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "203",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "561696265",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Denig, LPC
• Todd Michael Derreberry, M.D.
• Rebecca Dey, PHARMD
• Rhonda Wallace Dixon, WHNP
• Jeremy Dockery, CADC, SAP, ICAADC,
• Jodi M Douthit
• Dove Medical Supply Retail LLC
• Elisabeth Dowlen
• Brian William Downs, MD
• Rose Kordich Doyle, CRNA

• All providers in Clemmons, NC
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.